RESULTS OF POSTERIOR DECOMPRESSION WITH LAMINECTOMY, LATERAL MASS SCREWS AND ARTICULATING FACET FUSION IN TREATMENT FOR C3-7 MYELOPATHY
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Abstract
Background: cervical myelopathy usually results from compression on cervical spinal cord, caused by unstable and degenerative spine, cervical disc herniation, ossification of posterior ligamentum flavum or spinal tumors. Posterior decompression with laminectomy, lateral mass screws and articulating facet fusion is the first choice because it is easy to perform, low risk of complications and achieve the stability of cervical spinal structure. Objectives: to evaluate recovery rate of Japanese Orthopaedic Association score, healing rate of articulating facet fusion and complications. Materials and methods: a cross-sectional study included 59 consecutive patients (53 males, 6 females) that were treated for cervical myelopathy with C3-7 laminectomy, lateral mass screws and articulating facet fusion from 1/2018 to 12/2019. Results: median follow-up time was 17.51 ± 6.5 months. Data showed the recovery rate of Japanese Orthopaedic Association score was 65.07% (min 29%, max 88%). The healing rate of articulating facet fusion was 96.1%. There were no neurologic or vascular complications and postoperative instrumentation failures. Conclusion: posterior decompression with laminectomy, lateral mass screws and articulating facet fusion was a simple, safe and effective procedure that could be achieved stability for spine structure, bone healing and recovery of damaged spinal cord in cervical myelopathy.
Article Details
Keywords
posterior decompression, lateral mass crews, articulating facet fusion, cervical myelopathy
References
2. Ali Rabee Kamel Hamdan (2019), Effect of Sub-axial Cervical Lateral Mass Screw Fixation on Functional Outcome in Patients with Cervical Spondylotic Myelopathy, Asian Journal of Neurosurgery. 14(1).
3. Do Yeon Kim (2012), Radiological efficacy of cervical lateral mass screw insertion and rod fixation by modified Magerl's medthod (Yoon's method) with minimum 2 years of follow up, Korean J Spine. 9(3), pp 137-141.
4. J. K. Houten (2003), Laminectomy and posterior cervical plating for multilevel cervical spondylotic myelopathy and ossification of the posterior longitudinal ligament: effects on cervical alignment, spinal cord compression, and neurological outcome, Neurosurgery. 52(5).
5. Lali H. S. Sekhon (2005), Posterior Cervical Lateral Mass Screw Fixation - Analysis of 1026 Consecutive Screws in 143 Patients, J Spinal Disord Tech. 0(0), pp 1-7.
6. Manoj Dayalal Singrakhia (2017), Cervical Laminectomy with Lateral Mass Screw Fixation in Cervical Spondylotic Myelopathy: Neurological and Sagittal Alignment Outcome: Do We Need Lateral Mass Screws at each Segment?, Indian journal of orthopaedics. 6(51), pp 658-665.
7. Suda Kuda and Abumi Kuniyoshi (2003), Local kyphosis reduces surgical outcomes of expansive open-door laminoplasty for cervical spondylotic myelopathy, Spine (Phila Pa 1976). 28(12), pp 1258-62.
8. Takahashi H (2009), Prediction of clinical results of laminoplasty for cervical myelopathy focusing on spinal cord motion in intraoperative ultrasonography and postoperative magnetic resonance imaging, Spine (Phila Pa 1976). 34(24), pp 2634-41.
9. Wei Du (2014), Enlarged laminectomy and lateral mass screw fixation for multilevelcervical degenerative myelopathy associated with kyphosis, The Spine Journal. 14, pp 57-64.
10. Yasutsugu Yukawa (2012), Prediction of lower limb functional recovery after laminoplasty for cervical myelopathy: focusing on the 10-s step test, Eur Spine Journal. 21(7), pp 13891395.