Longitudinal Spinous‐Splitting Laminoplasty with Coral Bone for the Treatment of Cervical Adjacent Segment Degenerative Disease: A 5‐Year Follow‐up Study
This study was designed to analyze the causes of cervical adjacent segment degenerative disease (ASDis), evaluate the surgical outcomes of longitudinal spinous‐splitting laminoplasty with coral bone (SLAC) during cervical reoperation, and accumulate data on reoperation with SLAC in a primary hospita...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-02-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13027 |
| _version_ | 1818338965059534848 |
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| author | Wei He Da He Qi‐long Wang Wei Tian Bo Liu Ya‐jun Liu Yu‐qing Sun Yong‐gang Xing Ning Yuan Qiang Yuan Bin Xiao Bing Han Yu‐mei Wang Teng‐fei Ma Ming‐ming Liu |
| author_facet | Wei He Da He Qi‐long Wang Wei Tian Bo Liu Ya‐jun Liu Yu‐qing Sun Yong‐gang Xing Ning Yuan Qiang Yuan Bin Xiao Bing Han Yu‐mei Wang Teng‐fei Ma Ming‐ming Liu |
| author_sort | Wei He |
| collection | DOAJ |
| description | This study was designed to analyze the causes of cervical adjacent segment degenerative disease (ASDis), evaluate the surgical outcomes of longitudinal spinous‐splitting laminoplasty with coral bone (SLAC) during cervical reoperation, and accumulate data on reoperation with SLAC in a primary hospital. Based on the inclusion and exclusion criteria, we conducted a retrospective study involving 52 patients who underwent cervical reoperation for ASDis using SLAC at the spinal surgery department of the Beijing Jishuitan Hospital from 1998 to 2014. Among them, 39 were treated with anterior cervical fusion and internal fixation during the first operation (anterior cervical corpectomy with fusion [ACCF], n = 24; anterior cervical discectomy and fusion [ACDF], n = 11; and cervical disc arthroplasty [CDA], n = 4). Outcomes were the Japanese Orthopaedic Association (JOA) score, neck disability index (NDI) score, upper limb/neck and shoulder evaluated using a visual analogue scale (VAS), and rates of ASDis. In patients who underwent an anterior cervical approach in the first instance, the incidence of ASDis was significantly higher in the C3/4 gap than in the other gaps. In the ACCF group, the lateral radiograph of the cervical spine revealed that the distance between the anterior cervical plate and the adjacent segment disc was <5 mm in 15 (62.5%) cases and five (12.8%) cases, respectively, the internal fixation screws broke into the annulus of the adjacent segment. After the first SLAC, ASDis developed at C2/3 and C3/4 in four (30.8%) and eight (61.5%) cases, respectively. After reoperation, all cases were followed up for >5 (average, 6.2) years. The pre‐reoperation and last follow‐up values were as follows: mean Japanese Orthopaedic Association score, 10.2 ± 1.5 vs 15.5 ± 0.7 (P = 0.03); neck disability index, 26.2 vs 13.6 points (P = 0.01); upper‐limb visual analog scale (VAS) score, 6.1 vs 2.6 points (P = 0.04); and neck and shoulder VAS score, 6.6 vs 2.1 points (P = 0.03). SLAC is a simple technique in which the local anatomy is clearly visible and satisfactory clinical outcomes are obtained. |
| first_indexed | 2024-12-13T15:19:29Z |
| format | Article |
| id | doaj.art-bb05dafb4da54810bfecb0ac0736e5b4 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-12-13T15:19:29Z |
| publishDate | 2022-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-bb05dafb4da54810bfecb0ac0736e5b42022-12-21T23:40:37ZengWileyOrthopaedic Surgery1757-78531757-78612022-02-0114243544210.1111/os.13027Longitudinal Spinous‐Splitting Laminoplasty with Coral Bone for the Treatment of Cervical Adjacent Segment Degenerative Disease: A 5‐Year Follow‐up StudyWei He0Da He1Qi‐long Wang2Wei Tian3Bo Liu4Ya‐jun Liu5Yu‐qing Sun6Yong‐gang Xing7Ning Yuan8Qiang Yuan9Bin Xiao10Bing Han11Yu‐mei Wang12Teng‐fei Ma13Ming‐ming Liu14Department of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaDepartment of Spinal Surgery Beijing Jishuitan Hospital Beijing ChinaThis study was designed to analyze the causes of cervical adjacent segment degenerative disease (ASDis), evaluate the surgical outcomes of longitudinal spinous‐splitting laminoplasty with coral bone (SLAC) during cervical reoperation, and accumulate data on reoperation with SLAC in a primary hospital. Based on the inclusion and exclusion criteria, we conducted a retrospective study involving 52 patients who underwent cervical reoperation for ASDis using SLAC at the spinal surgery department of the Beijing Jishuitan Hospital from 1998 to 2014. Among them, 39 were treated with anterior cervical fusion and internal fixation during the first operation (anterior cervical corpectomy with fusion [ACCF], n = 24; anterior cervical discectomy and fusion [ACDF], n = 11; and cervical disc arthroplasty [CDA], n = 4). Outcomes were the Japanese Orthopaedic Association (JOA) score, neck disability index (NDI) score, upper limb/neck and shoulder evaluated using a visual analogue scale (VAS), and rates of ASDis. In patients who underwent an anterior cervical approach in the first instance, the incidence of ASDis was significantly higher in the C3/4 gap than in the other gaps. In the ACCF group, the lateral radiograph of the cervical spine revealed that the distance between the anterior cervical plate and the adjacent segment disc was <5 mm in 15 (62.5%) cases and five (12.8%) cases, respectively, the internal fixation screws broke into the annulus of the adjacent segment. After the first SLAC, ASDis developed at C2/3 and C3/4 in four (30.8%) and eight (61.5%) cases, respectively. After reoperation, all cases were followed up for >5 (average, 6.2) years. The pre‐reoperation and last follow‐up values were as follows: mean Japanese Orthopaedic Association score, 10.2 ± 1.5 vs 15.5 ± 0.7 (P = 0.03); neck disability index, 26.2 vs 13.6 points (P = 0.01); upper‐limb visual analog scale (VAS) score, 6.1 vs 2.6 points (P = 0.04); and neck and shoulder VAS score, 6.6 vs 2.1 points (P = 0.03). SLAC is a simple technique in which the local anatomy is clearly visible and satisfactory clinical outcomes are obtained.https://doi.org/10.1111/os.13027Adjacent segment diseaseCervical vertebraeLaminectomySpinous process |
| spellingShingle | Wei He Da He Qi‐long Wang Wei Tian Bo Liu Ya‐jun Liu Yu‐qing Sun Yong‐gang Xing Ning Yuan Qiang Yuan Bin Xiao Bing Han Yu‐mei Wang Teng‐fei Ma Ming‐ming Liu Longitudinal Spinous‐Splitting Laminoplasty with Coral Bone for the Treatment of Cervical Adjacent Segment Degenerative Disease: A 5‐Year Follow‐up Study Orthopaedic Surgery Adjacent segment disease Cervical vertebrae Laminectomy Spinous process |
| title | Longitudinal Spinous‐Splitting Laminoplasty with Coral Bone for the Treatment of Cervical Adjacent Segment Degenerative Disease: A 5‐Year Follow‐up Study |
| title_full | Longitudinal Spinous‐Splitting Laminoplasty with Coral Bone for the Treatment of Cervical Adjacent Segment Degenerative Disease: A 5‐Year Follow‐up Study |
| title_fullStr | Longitudinal Spinous‐Splitting Laminoplasty with Coral Bone for the Treatment of Cervical Adjacent Segment Degenerative Disease: A 5‐Year Follow‐up Study |
| title_full_unstemmed | Longitudinal Spinous‐Splitting Laminoplasty with Coral Bone for the Treatment of Cervical Adjacent Segment Degenerative Disease: A 5‐Year Follow‐up Study |
| title_short | Longitudinal Spinous‐Splitting Laminoplasty with Coral Bone for the Treatment of Cervical Adjacent Segment Degenerative Disease: A 5‐Year Follow‐up Study |
| title_sort | longitudinal spinous splitting laminoplasty with coral bone for the treatment of cervical adjacent segment degenerative disease a 5 year follow up study |
| topic | Adjacent segment disease Cervical vertebrae Laminectomy Spinous process |
| url | https://doi.org/10.1111/os.13027 |
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