Application of open-door laminoplasty with ARCH plate fixation in cervical intraspinal tumors
Abstract Background The open-door laminoplasty is an effective procedure for the treatment of cervical spondylotic myelopathy. However, little information is available about the surgical results of open-door laminoplasty in the treatment of intraspinal tumors. In the present study, we aimed to inves...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-03-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-021-01140-3 |
| _version_ | 1818616062093033472 |
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| author | Zhi-Chao Wang Shu-Zhong Li Xin-Fei Qu Chu-Qiang Yin Yuan-Liang Sun Yue-Lei Wang Jie Wang Chen-Jing Liu Zhen-Lu Cao Ting Wang |
| author_facet | Zhi-Chao Wang Shu-Zhong Li Xin-Fei Qu Chu-Qiang Yin Yuan-Liang Sun Yue-Lei Wang Jie Wang Chen-Jing Liu Zhen-Lu Cao Ting Wang |
| author_sort | Zhi-Chao Wang |
| collection | DOAJ |
| description | Abstract Background The open-door laminoplasty is an effective procedure for the treatment of cervical spondylotic myelopathy. However, little information is available about the surgical results of open-door laminoplasty in the treatment of intraspinal tumors. In the present study, we aimed to investigate the clinical effect of open-door laminoplasty with ARCH plate fixation in the treatment of cervical intraspinal tumors. Methods This was a retrospective study. From January 2013 to May 2018, 38 patients (13 males and 25 females, the average age of 44 ± 17 years) with cervical intraspinal tumors underwent open-door laminoplasty with ARCH plate fixation in our hospital. The operation time, blood loss, pre- and postoperative visual analog scale (VAS), and Japanese Orthopedic Association (JOA) scores were determined. To determine the radiographic outcomes, cervical X-ray film and magnetic resonance imaging (MRI) were performed before and after the operation, and cervical X-ray sagittal film was used to measure Cobb angle. The clinical data before and after the operation were compared by t-test. Results A total of 38 patients underwent a successful operation and demonstrated primary healing. The average operation time was 113 ± 12 min. The average blood loss was 120 ± 19 mL. All patients were followed up for 26.1 ± 2.8 months, and the final follow-up time was more than 24 months. VAS scores were much better at 24 months after operation compared with those before the operation, which were decreased from 6.1 ± 1.1 to 1.4 ± 0.7 (t = 32.63, P < 0.01). The JOA score was improved from 9.9 ± 1.5 to 15.5 ± 0.6 (t = − 18.36, P < 0.01), and the mean JOA recovery rate was 79% ± 11% at 24 months after the operation. There was no significant difference in Cobb angle between pre-operation and 24 months after the operation, which was 9.8 ± 2.6 and 10.3 ± 3.1 respectively (t = − 0.61, P > 0.05). Neither spinal malalignment on the coronal plane nor displacement of the laminoplasty flap was observed on postoperative cervical X-ray and MRI examinations at the final follow-up. Conclusions Open-door laminoplasty with ARCH plate fixation was a safe and effective surgical approach for the treatment of cervical intraspinal tumors. |
| first_indexed | 2024-12-16T16:43:49Z |
| format | Article |
| id | doaj.art-bffbb4bd9d6a4fe8a80f211af24613bc |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-16T16:43:49Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-bffbb4bd9d6a4fe8a80f211af24613bc2022-12-21T22:24:13ZengBMCBMC Surgery1471-24822021-03-012111810.1186/s12893-021-01140-3Application of open-door laminoplasty with ARCH plate fixation in cervical intraspinal tumorsZhi-Chao Wang0Shu-Zhong Li1Xin-Fei Qu2Chu-Qiang Yin3Yuan-Liang Sun4Yue-Lei Wang5Jie Wang6Chen-Jing Liu7Zhen-Lu Cao8Ting Wang9Department of Spine Surgery, Affiliated Hospital of Qingdao UniversityDepartment of Spine Surgery, Affiliated Hospital of Qingdao UniversityDepartment of Operating Room, Affiliated Hospital of Qingdao UniversityDepartment of Spine Surgery, Affiliated Hospital of Qingdao UniversityDepartment of Spine Surgery, Affiliated Hospital of Qingdao UniversityDepartment of Spine Surgery, Affiliated Hospital of Qingdao UniversityDepartment of Spine Surgery, Affiliated Hospital of Qingdao UniversityDepartment of Spine Surgery, Affiliated Hospital of Qingdao UniversityDepartment of Spine Surgery, Affiliated Hospital of Qingdao UniversityDepartment of Spine Surgery, Affiliated Hospital of Qingdao UniversityAbstract Background The open-door laminoplasty is an effective procedure for the treatment of cervical spondylotic myelopathy. However, little information is available about the surgical results of open-door laminoplasty in the treatment of intraspinal tumors. In the present study, we aimed to investigate the clinical effect of open-door laminoplasty with ARCH plate fixation in the treatment of cervical intraspinal tumors. Methods This was a retrospective study. From January 2013 to May 2018, 38 patients (13 males and 25 females, the average age of 44 ± 17 years) with cervical intraspinal tumors underwent open-door laminoplasty with ARCH plate fixation in our hospital. The operation time, blood loss, pre- and postoperative visual analog scale (VAS), and Japanese Orthopedic Association (JOA) scores were determined. To determine the radiographic outcomes, cervical X-ray film and magnetic resonance imaging (MRI) were performed before and after the operation, and cervical X-ray sagittal film was used to measure Cobb angle. The clinical data before and after the operation were compared by t-test. Results A total of 38 patients underwent a successful operation and demonstrated primary healing. The average operation time was 113 ± 12 min. The average blood loss was 120 ± 19 mL. All patients were followed up for 26.1 ± 2.8 months, and the final follow-up time was more than 24 months. VAS scores were much better at 24 months after operation compared with those before the operation, which were decreased from 6.1 ± 1.1 to 1.4 ± 0.7 (t = 32.63, P < 0.01). The JOA score was improved from 9.9 ± 1.5 to 15.5 ± 0.6 (t = − 18.36, P < 0.01), and the mean JOA recovery rate was 79% ± 11% at 24 months after the operation. There was no significant difference in Cobb angle between pre-operation and 24 months after the operation, which was 9.8 ± 2.6 and 10.3 ± 3.1 respectively (t = − 0.61, P > 0.05). Neither spinal malalignment on the coronal plane nor displacement of the laminoplasty flap was observed on postoperative cervical X-ray and MRI examinations at the final follow-up. Conclusions Open-door laminoplasty with ARCH plate fixation was a safe and effective surgical approach for the treatment of cervical intraspinal tumors.https://doi.org/10.1186/s12893-021-01140-3ARCH plateCervicalOpen-door laminoplastyIntradural tumor |
| spellingShingle | Zhi-Chao Wang Shu-Zhong Li Xin-Fei Qu Chu-Qiang Yin Yuan-Liang Sun Yue-Lei Wang Jie Wang Chen-Jing Liu Zhen-Lu Cao Ting Wang Application of open-door laminoplasty with ARCH plate fixation in cervical intraspinal tumors BMC Surgery ARCH plate Cervical Open-door laminoplasty Intradural tumor |
| title | Application of open-door laminoplasty with ARCH plate fixation in cervical intraspinal tumors |
| title_full | Application of open-door laminoplasty with ARCH plate fixation in cervical intraspinal tumors |
| title_fullStr | Application of open-door laminoplasty with ARCH plate fixation in cervical intraspinal tumors |
| title_full_unstemmed | Application of open-door laminoplasty with ARCH plate fixation in cervical intraspinal tumors |
| title_short | Application of open-door laminoplasty with ARCH plate fixation in cervical intraspinal tumors |
| title_sort | application of open door laminoplasty with arch plate fixation in cervical intraspinal tumors |
| topic | ARCH plate Cervical Open-door laminoplasty Intradural tumor |
| url | https://doi.org/10.1186/s12893-021-01140-3 |
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