Clinical Outcomes of Open-Door Laminoplasty Combined with Bilateral Lateral Mass Screw Fixation for Multi-Level Cervical Spinal Stenosis with Traumatic Cervical Instability and Spinal Cord Injury: A Retrospective Study

This study investigates a surgical technique called open-door laminoplasty combined with bilateral lateral mass screw fixation (ODL-BLMSF) for treating multi-level cervical spinal stenosis complicated by traumatic cervical instability and spinal cord injury (MCSS-TCISCI). The goal was to determine if this technique can effectively decompress the spinal cord and stabilize the cervical spine. The study retrospectively analyzed 20 patients with MCSS-TCISCI who underwent ODL-BLMSF. Researchers assessed the patients' neurological function, neck pain, and spinal alignment before and after surgery using various measures such as JOA scores, Nurick grade, NDI, VAS, and radiographic analysis. The results showed significant improvements in spinal canal dilation, neurological function, and neck function after ODL-BLMSF. The technique effectively decompressed the spinal cord, maintained good cervical alignment and stability, and led to recovery in neurological and neck function.

• 1
  The average Pavlov ratio at the C5 level significantly improved after surgery, indicating effective dilation of the spinal canal.
• 2
  The JOA score significantly increased, and the Nurick disability score significantly decreased, demonstrating improved neurological function after the procedure.
• 3
  The NDI and VAS scores significantly decreased, showing improvement in neck function and reduction in neck pain postoperatively.