PT  - JOURNAL ARTICLE
AU  - YAWARA EGUCHI
AU  - MUNETAKA SUZUKI
AU  - HAJIME YAMANAKA
AU  - HIROSHI TAMAI
AU  - TATSUYA KOBAYASHI
AU  - SUMIHISA ORITA
AU  - MIYAKO NARITA
AU  - KAZUHIDE INAGE
AU  - HIROHITO KANAMOTO
AU  - KOKI ABE
AU  - MASAHIRO INOUE
AU  - MASAKI NORIMOTO
AU  - TOMOTAKA UMIMURA
AU  - TAKASHI SATO
AU  - YASUCHIKA AOKI
AU  - ATSUYA WATANABE
AU  - MASAO KODA
AU  - TAKEO FURUYA
AU  - JUNICHI NAKAMURA
AU  - TOMOAKI TOYONE
AU  - TOMOYUKI OZAWA
AU  - TSUTOMU AKAZAWA
AU  - KAZUHISA TAKAHASHI
AU  - SEIJI OHTORI
TI  - Myovascular Preserving Open-Door Laminoplasty for Cervical Spondylotic Myelopathy With Miniplate Fixation
AID  - 10.14444/7062
DP  - 2020 Aug 01
TA  - International Journal of Spine Surgery
PG  - 476--482
VI  - 14
IP  - 4
4099  - http://ijssurgery.com//content/14/4/476.short
4100  - http://ijssurgery.com//content/14/4/476.full
SO  - Int J Spine Surg2020 Aug 01; 14
AB  - Objective Laminoplasty is an effective procedure for treating cervical spondylotic myelopathy. We conduct myovascular preserving open-door laminoplasty (MPLP) in combination with a laminoplasty plate to improve the stability of the enlarged lamina. We compare the details of the MPLP technique with conventional open-door laminoplasty.Methods We compared 25 cases of MPLP (mean age = 70.5, mean follow-up period = 19 months) with 15 controls who received conventional open-door laminoplasty using hydroxyapatite spacers (mean age = 74, mean follow-up period = 53 months). Regarding surgical outcomes, blood loss, operative time, Japanese Orthopaedic Association score, and postoperative visual analog score for neck pain were measured. Regarding image analysis, preoperative and postoperative range of motion (ROM), C2-7 angle, implant back out, hinge bone fusion time, presence or absence of hinge bone union failure, and posterior neck fat infiltration rate were evaluated.Results Operative time was significantly shorter for MPLP, and postoperative neck pain was significantly decreased. In image evaluation, %ROM was significantly increased in MPLP, but no difference in C2-7 angle existed between the 2 groups. Implant back out was not recognized in either group. In MPLP, the hinge union period was significantly shortened, and the postoperative fat infiltration rate was significantly decreased.Conclusions We were able to reduce neck pain after surgery by an approach entailing longitudinal splitting of the spinous processes. We were able to ensure shorter operation times due to cervical plates and better hinge bone fusion times due to initial stability.Level of Evidence 4.