Cervical Laminoplasty with Miniplates and Screws: Technical Note
作者
Chih-Ju Chang, Jing-Shan Huang
卷期/出版年月
31卷4期 (1998/8)
頁次
222-226
摘要
Cervical myelopathy secondary to multiple segmental spinal stenosis which
may be due to degenerative spondylosis or ossification of the posterior
longitudinal ligaments presents a challenge for operative treatment. The
best treatment remains controversial, because no surgical procedure has
been proven to be statistically superior to any other. Cervical laminoplasty
is one choice of the many procedures for the treatment of multiple level cervical spinal stenosis. We performed cervical laminoplasty using titanium miniplates and screws in two patients, one with ossification of the posterior longitudinal ligament and another with degenerative spondylotic myelopathy. Post-operative radiographic images and patients' clinical improvement of symptoms and signs demonstrate that the use of titanium miniplates and screws to stabilize the posterior elements after laminoplasty simple, effective technique to maintain the increased sagittal diameter of the spinal canal and also preserve stability and segmental motion.