Abstract
Five-lamina (C3-7) procedure is the most popular cervical laminoplasty and there have been no studies on the most appropriate number of laminae to be opened. We prospectively reduced the range of laminoplasty from C3-7 to C3-6 in 2002 and compared the outcome of C3-6 laminoplasty (n=37) to that of C3-7 laminoplasty (n=28). In both groups, neurological gain was satisfactory, radiographic changes were minimal, and postoperative MRI indicated sufficient expansion of the dura and the spinal cord. Average operating period was significantly shorter, and length of the operative wound was significantly less in the C3-6 group than in the C3-7 group. Postoperative axial neck pain was significantly rarer after C3-6 laminoplasty than after C3-7 laminoplasty (5.4% vs. 29%, P=0.015). Due to its simplicity and various benefits, C3-6 laminoplasty is a promising alternative to conventional C3-7 laminoplasty for treatment of multisegmental compression myelopathy.
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References
Aita I, Hayashi K, Wadano Y, Yabuki T (1998) Posteiror movement and enlargement of the spinal cord after cervical laminoplasty. J Bone Joint Surg (Br) 80B:33–37
Hayashi H, Okada K, Hashimoto J, Tada K, Ueno R (1988) Cervical spondylotic myelopathy in the aged patient. A radiographic evaluation of the aging changes in the cervical spine and etiologic factors of myelopathy. Spine 13:618–625
Hirabayashi K, Miyakawa J, Satomi K, Maruyama T, Wakano K (1981) Operative results and postoperative progression of ossification among patients with ossification of cervical posterior longitudinal ligament. Spine 6:354–364
Hosono N, Yonenobu K, Ono K (1996) Neck and shoulder pain after laminoplasty. A noticeable complication. Spine 21:1969–1973
Hosono N, Sakaura H, Mukai Y, Ishii T, Yoshikawa H (2005) En bloc laminoplasty without dissection of paraspinal muscles. J Neurosurg Spine 3:29–33
Itoh T, Tsuji H (1985) Technical improvements and results of laminoplasty for compressive myelopathy in the cervical spine. Spine 10:729–736
Kawaguchi Y, Kanamori M, Ishihara H, Gejo R, Yoshino O (1999) Axial symptoms after en-bloc cervical laminoplasty. J Spinal Disord Tech 12:392–395
Kawai S, Sunago K, Doi K, Saika M, Taguchi T (1988) Cervical laminoplasty (Hattori’s method). Procedure and follow-up results. Spine 13:1245–1250
Pal GP, Routal RV (1996) The role of the vertebral laminae in the stability of the cervical spine. J Anat 188:485–489
Panjabi MM, Duranceau J, Goel V, Oxland T, Takata K (1991) Cervical human vertebrae—quantitative three-dimensional anatomy of the middle and lower regions. Spine 16:861–869
Ratliff JK, Cooper PR (2003) Cervical laminoplasty a critical review. J Neurosurg (Spine 3) 98:230–238
Sodeyama T, Goto S, Mochizuki M, Takahashi J, Moriya H (1999) Effect of decompression enlargement laminoplasty for posterior shifting of the spinal cord. Spine 24:1527–1532
White III AA, Panjabi MM (1990) Kinematics of the spine. In: White III AA, Panjabi MM (eds) Clinical biomechanics of the spine. 2nd edn, JB Lippincott Company, Philadelphia, pp 85–125
Yonenobu K, Hosono N, Iwasaki M, Asano M, Ono K (1992) Laminoplasty versus subtotal corpectomy—a comparative study of results in multisegmental cervical spondylotic myelopathy. Spine 17:1281–1284
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Hosono, N., Sakaura, H., Mukai, Y. et al. C3-6 laminoplasty takes over C3-7 laminoplasty with significantly lower incidence of axial neck pain. Eur Spine J 15, 1375–1379 (2006). https://doi.org/10.1007/s00586-006-0089-9
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DOI: https://doi.org/10.1007/s00586-006-0089-9