Double Dome Laminoplasty: A Novel Technique for C2 Decompression
Objective To introduce a new surgical technique - double dome laminoplasty for decompression of the entire C2 lamina and preservation of an extensor muscle insertion. Methods Eleven consecutive cervical myelopathy patients due to ossification of the posterior longitudinal ligament involving the Axis...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2021-12-01
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| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-2143028-514.pdf |
| _version_ | 1797331016019345408 |
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| author | Dong-Ho Lee Gian Karlo P. Dadufalza Jong-Min Baik Sehan Park Jae Hwan Cho Chang Ju Hwang Choon Sung Lee |
| author_facet | Dong-Ho Lee Gian Karlo P. Dadufalza Jong-Min Baik Sehan Park Jae Hwan Cho Chang Ju Hwang Choon Sung Lee |
| author_sort | Dong-Ho Lee |
| collection | DOAJ |
| description | Objective To introduce a new surgical technique - double dome laminoplasty for decompression of the entire C2 lamina and preservation of an extensor muscle insertion. Methods Eleven consecutive cervical myelopathy patients due to ossification of the posterior longitudinal ligament involving the Axis (C2) area were contained at this study. Direct decompression was evaluated as an increasing rate in space available cord (%) and posterior cord shift (mm) at C2 level. The Japanese Orthopaedic Association (JOA) score, visual analogue scale, and C2–7 Cobb angle in a neutral lateral x-ray were analyzed. Results The mean increase in space available for spinal cord at the C2 level, average posterior cord shift, and JOA recovery rate were 69.7%, 5.3±0.15 mm, and 58.0%, respectively. Cervical lordotic angle was maintained in all patients. One patient reported neck pain (visual analogue scale 6) postoperatively. No specific complications such as C2 laminar fracture or insufficient decompression were observed. Conclusion We recommend double dome laminoplasty for treating patients with cervical myelopathy involving the C2 area to avoid C2 laminectomy, reduce postoperative neck pain, and maintain lordotic cervical spine alignment. |
| first_indexed | 2024-03-08T07:28:30Z |
| format | Article |
| id | doaj.art-b026eda986db48c1be731bb8c9ade3a4 |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:28:30Z |
| publishDate | 2021-12-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-b026eda986db48c1be731bb8c9ade3a42024-02-02T21:10:14ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912021-12-0118488288810.14245/ns.2143028.5141213Double Dome Laminoplasty: A Novel Technique for C2 DecompressionDong-Ho Lee0Gian Karlo P. Dadufalza1Jong-Min Baik2Sehan Park3Jae Hwan Cho4Chang Ju Hwang5Choon Sung Lee6 Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea Department of Orthopedic Surgery, Philippine Orthopedic Center, Quezon City, the Philippines Department of Orthopedic Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Orthopedic Surgery, Dongguk University Medical Center, Dongguk University College of Medicine, Goyang, Korea Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, KoreaObjective To introduce a new surgical technique - double dome laminoplasty for decompression of the entire C2 lamina and preservation of an extensor muscle insertion. Methods Eleven consecutive cervical myelopathy patients due to ossification of the posterior longitudinal ligament involving the Axis (C2) area were contained at this study. Direct decompression was evaluated as an increasing rate in space available cord (%) and posterior cord shift (mm) at C2 level. The Japanese Orthopaedic Association (JOA) score, visual analogue scale, and C2–7 Cobb angle in a neutral lateral x-ray were analyzed. Results The mean increase in space available for spinal cord at the C2 level, average posterior cord shift, and JOA recovery rate were 69.7%, 5.3±0.15 mm, and 58.0%, respectively. Cervical lordotic angle was maintained in all patients. One patient reported neck pain (visual analogue scale 6) postoperatively. No specific complications such as C2 laminar fracture or insufficient decompression were observed. Conclusion We recommend double dome laminoplasty for treating patients with cervical myelopathy involving the C2 area to avoid C2 laminectomy, reduce postoperative neck pain, and maintain lordotic cervical spine alignment.http://www.e-neurospine.org/upload/pdf/ns-2143028-514.pdfcervical spinec2myelopathyoplldome laminoplasty |
| spellingShingle | Dong-Ho Lee Gian Karlo P. Dadufalza Jong-Min Baik Sehan Park Jae Hwan Cho Chang Ju Hwang Choon Sung Lee Double Dome Laminoplasty: A Novel Technique for C2 Decompression Neurospine cervical spine c2 myelopathy opll dome laminoplasty |
| title | Double Dome Laminoplasty: A Novel Technique for C2 Decompression |
| title_full | Double Dome Laminoplasty: A Novel Technique for C2 Decompression |
| title_fullStr | Double Dome Laminoplasty: A Novel Technique for C2 Decompression |
| title_full_unstemmed | Double Dome Laminoplasty: A Novel Technique for C2 Decompression |
| title_short | Double Dome Laminoplasty: A Novel Technique for C2 Decompression |
| title_sort | double dome laminoplasty a novel technique for c2 decompression |
| topic | cervical spine c2 myelopathy opll dome laminoplasty |
| url | http://www.e-neurospine.org/upload/pdf/ns-2143028-514.pdf |
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