Development and Achievement of Cervical Laminoplasty and Related Studies on Cervical Myelopathy
Cervical laminoplasty (CL) is one of the surgical methods via the posterior approach for treating patients with multilevel affected cervical myelopathy (CM). The main purpose of CL is to decompress the cervical spinal cord by widening the narrowed spinal canal, combined with preserving the posterior...
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| Format: | Article |
| Language: | English |
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The Japanese Society for Spine Surgery and Related Research
2020-01-01
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| Series: | Spine Surgery and Related Research |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/ssrr/4/1/4_2019-0023/_pdf/-char/en |
| _version_ | 1828842980005380096 |
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| author | Shigeru Hirabayashi Tomoaki Kitagawa Iwao Yamamoto Kazuaki Yamada Hirotaka Kawano |
| author_facet | Shigeru Hirabayashi Tomoaki Kitagawa Iwao Yamamoto Kazuaki Yamada Hirotaka Kawano |
| author_sort | Shigeru Hirabayashi |
| collection | DOAJ |
| description | Cervical laminoplasty (CL) is one of the surgical methods via the posterior approach for treating patients with multilevel affected cervical myelopathy (CM). The main purpose of CL is to decompress the cervical spinal cord by widening the narrowed spinal canal, combined with preserving the posterior anatomical structures to the degree possible and preserving the widened space stably. During the development and improvement of spine surgeries including CL, various studies on CM have progressed and useful achievements have been obtained: (1) posterior cervical spine fixation systems that can be used in combination with CL simultaneously have been developed; (2) various materials to stably maintain the enlarged spinal canal have been developed; (3) the main influential factors on the surgical results are the inner factors of the patients, such as the patient's age and the disease duration; (4) various surgical methods to preserve the function of the posterior cervical muscles have been tried to avoid postoperative kyphotic changes of the cervical spine; (5) postoperative complications, such as C5 palsy and axial pain, have been examined, and the countermeasures have been tried; (6) K-line on lateral X-ray films has been applied to evaluate the indication of CL in patients with CM due to ossification of the posterior longitudinal ligament (OPLL) preoperatively; and (7) the method and idea of CL have been adapted to surgeries at the thoracic and lumbar spine. However, some issues remain to be resolved, such as the deterioration of neurological findings, especially in patients with continuous or mixed-type OPLL, the postoperative kyphotic-directional alignment change of the cervical spine, C5 palsy, and axial pain. |
| first_indexed | 2024-12-12T20:36:00Z |
| format | Article |
| id | doaj.art-15a946e5e2ee4679b2b87bf07ad20546 |
| institution | Directory Open Access Journal |
| issn | 2432-261X |
| language | English |
| last_indexed | 2024-12-12T20:36:00Z |
| publishDate | 2020-01-01 |
| publisher | The Japanese Society for Spine Surgery and Related Research |
| record_format | Article |
| series | Spine Surgery and Related Research |
| spelling | doaj.art-15a946e5e2ee4679b2b87bf07ad205462022-12-22T00:12:55ZengThe Japanese Society for Spine Surgery and Related ResearchSpine Surgery and Related Research2432-261X2020-01-014181710.22603/ssrr.2019-00232019-0023Development and Achievement of Cervical Laminoplasty and Related Studies on Cervical MyelopathyShigeru Hirabayashi0Tomoaki Kitagawa1Iwao Yamamoto2Kazuaki Yamada3Hirotaka Kawano4Department of Orthopaedic Surgery, Teikyo University HospitalDepartment of Orthopaedic Surgery, Teikyo University HospitalDepartment of Orthopaedic Surgery, Teikyo University HospitalDepartment of Orthopaedic Surgery, Teikyo University HospitalDepartment of Orthopaedic Surgery, Teikyo University HospitalCervical laminoplasty (CL) is one of the surgical methods via the posterior approach for treating patients with multilevel affected cervical myelopathy (CM). The main purpose of CL is to decompress the cervical spinal cord by widening the narrowed spinal canal, combined with preserving the posterior anatomical structures to the degree possible and preserving the widened space stably. During the development and improvement of spine surgeries including CL, various studies on CM have progressed and useful achievements have been obtained: (1) posterior cervical spine fixation systems that can be used in combination with CL simultaneously have been developed; (2) various materials to stably maintain the enlarged spinal canal have been developed; (3) the main influential factors on the surgical results are the inner factors of the patients, such as the patient's age and the disease duration; (4) various surgical methods to preserve the function of the posterior cervical muscles have been tried to avoid postoperative kyphotic changes of the cervical spine; (5) postoperative complications, such as C5 palsy and axial pain, have been examined, and the countermeasures have been tried; (6) K-line on lateral X-ray films has been applied to evaluate the indication of CL in patients with CM due to ossification of the posterior longitudinal ligament (OPLL) preoperatively; and (7) the method and idea of CL have been adapted to surgeries at the thoracic and lumbar spine. However, some issues remain to be resolved, such as the deterioration of neurological findings, especially in patients with continuous or mixed-type OPLL, the postoperative kyphotic-directional alignment change of the cervical spine, C5 palsy, and axial pain.https://www.jstage.jst.go.jp/article/ssrr/4/1/4_2019-0023/_pdf/-char/encervical spinelaminoplastyposterior decompressioncervical myelopathykyphosis |
| spellingShingle | Shigeru Hirabayashi Tomoaki Kitagawa Iwao Yamamoto Kazuaki Yamada Hirotaka Kawano Development and Achievement of Cervical Laminoplasty and Related Studies on Cervical Myelopathy Spine Surgery and Related Research cervical spine laminoplasty posterior decompression cervical myelopathy kyphosis |
| title | Development and Achievement of Cervical Laminoplasty and Related Studies on Cervical Myelopathy |
| title_full | Development and Achievement of Cervical Laminoplasty and Related Studies on Cervical Myelopathy |
| title_fullStr | Development and Achievement of Cervical Laminoplasty and Related Studies on Cervical Myelopathy |
| title_full_unstemmed | Development and Achievement of Cervical Laminoplasty and Related Studies on Cervical Myelopathy |
| title_short | Development and Achievement of Cervical Laminoplasty and Related Studies on Cervical Myelopathy |
| title_sort | development and achievement of cervical laminoplasty and related studies on cervical myelopathy |
| topic | cervical spine laminoplasty posterior decompression cervical myelopathy kyphosis |
| url | https://www.jstage.jst.go.jp/article/ssrr/4/1/4_2019-0023/_pdf/-char/en |
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