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      Expansive open‐door laminoplasty and selective anterior cervical decompression and fusion for treatment of multilevel cervical spondylotic myelopathy

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          Abstract

          Objective:  To evaluate the clinical results of combined expansive open‐door laminoplasty by splitting of spinous processes and selective anterior cervical decompression and fusion in treatment of multilevel severe cervical spondylotic myelopathy (CSM).

          Methods:  Twenty‐eight patients (16 men and 12 women) underwent one‐stage combined expansive open‐door laminoplasty and selective anterior decompression and fusion for severe CSM; the average patient age was 51.3 years (range, 32–63 years). Clinical results were assessed by Japanese Orthopaedic Association (JOA) scores, number of finger grip and releases (G and R) in ten seconds, hand‐grip strength, visual analog scale (VAS) of axial pain, and C2‐C7 angle.

          Results:  There was no worsening of neurological symptoms due to cord injury, cerebrospinal fluid leakage, or wound infection. All cases completed one‐year follow‐up. The JOA scores, number of G and R in ten seconds, and hand‐grip strength were all significantly improved ( P < 0.05). Satisfactory decompression was shown by MRI or CT to have been achieved in all cases. The C2‐C7 angle did not differ significantly from that found pre‐operatively. The axial neck pain score was 2.0 ± 0.1 on VAS.

          Conclusion:  Combined expansive open‐door laminoplasty by splitting of spinous processes and selective anterior decompression and fusion achieves complete spinal canal decompression with minimal morbidity; this strategy is effective in improving the surgical outcomes of CSM in one‐year follow‐up.

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          Author and article information

          Journal
          Orthop Surg
          Orthop Surg
          10.1111/(ISSN)1757-7861
          OS
          Orthopaedic Surgery
          Blackwell Publishing Asia (Melbourne, Australia )
          1757-7853
          1757-7861
          25 July 2011
          August 2011
          : 3
          : 3 ( doiID: 10.1111/os4.2011.3.issue-3 )
          : 161-166
          Affiliations
          [ 1 ]Department of Orthopaedics, Qilu Hospital of Shandong University, Jinan, China
          Author notes
          [*] [* ]Xin‐yu Liu, MD, Department of Orthopaedics, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan City, Shandong Province, China 250012 Tel: 0086‐0531‐82169423; Fax: 0086‐0531‐82169423; Email: newyuliu@ 123456yahoo.com.cn
          Article
          PMC6583147 PMC6583147 6583147 OS143
          10.1111/j.1757-7861.2011.00143.x
          6583147
          22009646
          37739ebc-c6d9-4a40-bd7f-a8e5c46f7fdc
          © 2011 Tianjin Hospital and Blackwell Publishing Asia Pty Ltd
          History
          : 23 April 2011
          : 19 May 2011
          Page count
          Figures: 4, Tables: 2, Equations: 0, References: 11, Pages: 6, Words: 2256
          Categories
          Clinical Articles
          Custom metadata
          2.0
          August 2011
          Converter:WILEY_ML3GV2_TO_NLMPMC version:5.6.4 mode:remove_FC converted:10.06.2019

          Decompression,Cervical spondylosis,Spinal fusion
          Decompression, Cervical spondylosis, Spinal fusion

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