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  4. Cervical single open-door laminoplasty with or without local lateral mass screw fixation and fusion to treat cervical spinal cord injuries accompanied by segmental spinal canal stenosis

Cervical single open-door laminoplasty with or without local lateral mass screw fixation and fusion to treat cervical spinal cord injuries accompanied by segmental spinal canal stenosis

Frontiers in Surgery, 2023 · DOI: 10.3389/fsurg.2022.1050308 · Published: January 4, 2023

Spinal Cord InjurySurgeryOrthopedics

Simple Explanation

This study investigates surgical treatments for cervical spinal cord injuries combined with spinal canal narrowing. The study compares laminoplasty alone to laminoplasty with screw fixation and fusion. The study looks at patients who had either laminoplasty alone or laminoplasty combined with lateral mass screw fixation and fusion. The aim was to evaluate the effectiveness of these surgical approaches for improving neurological function in patients with cervical spinal cord injuries and spinal stenosis.

Study Duration
December 2014 and August 2017
Participants
56 patients with traumatic cervical spinal cord injuries
Evidence Level
Retrospective

Key Findings

  • 1
    Both laminoplasty alone and laminoplasty with fusion improved neurological function.
  • 2
    Laminoplasty combined with local fusion aided the treatment of unstable cervical spinal cord injuries and spinal stenosis.
  • 3
    Many unstable segments were located in regions of stress concentration, such as areas of discontinuous ossification in patients with multisegmental OPLL or intervertebral joint stiffness.

Research Summary

This retrospective study evaluated the efficacy of cervical single open-door laminoplasty with and without local lateral mass screw fixation and fusion for treating cervical spinal cord injuries accompanied by multisegmental spinal canal stenosis. The study found that laminoplasty combined with local fusion aided in the treatment of unstable cervical spinal cord injuries and spinal stenosis. The researchers concluded that stenosis is a key factor causing multiple spinal cord compressions in patients with cervical spinal cord injuries.

Practical Implications

Surgical Technique

Cervical single open-door laminoplasty with or without local lateral mass screw fixation can be used to treat cervical spinal cord injuries accompanied by segmental spinal canal stenosis.

Treatment of Unstable Injuries

Laminoplasty combined with local fusion can aid the treatment of unstable cervical spinal cord injuries and spinal stenosis.

Risk Factor Identification

Areas of stress concentration constitute a risk factor for local instability after mild trauma.

Study Limitations

  • 1
    Small sample size
  • 2
    Slight variation in hybrid techniques employed
  • 3
    Retrospective design without a control group

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