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01-01-2008 | Original Article

Double-door laminoplasty in managing multilevel myelopathy: technique description and literature review

Authors: M. Orabi, S. Chibbaro, O. Makiese, J. F. Cornelius, B. George

Published in: Neurosurgical Review | Issue 1/2008

Abstract

Cervical laminoplasty has become a popular technique for the treatment of cervical myelopathy resulting from multilevel canal stenosis. The goal of this technique is to increase the spinal canal space and to reconstruct the posterior bony arch at the same time. The most common reason for laminoplasty failure is restenosis because of hinge closure. In the present report, the authors describe a variation of the double-door laminoplasty using a specifically tailored plate. The present technique is a modification of the double-door laminoplasty by using a specifically developed plate (Senegas’ Plate—by Stryker Technology^®, Kalamazoo, MI), which allows to fix the two hemilamina in an open and expanded position re-establishing also the posterior canal arch. This procedure was implemented in a series of 22 patients. The device has been successfully implanted in all patients. At a mean follow-up of 21.1 months all patients showed a remarkable neurological improvement documented by serial clinical and radiological investigations. The present study indicates that this specific device effectively preserves the postoperative sagittal cervical canal diameter and provides a rigid construct, and in addition, it is very easy and fast to apply minimizing the risk of iatrogenic injuries, blood loss, and operative time.

Adams CBT, Logue V (1971) Studies in cervical spondylotic myelopathy. II. The movement and contour of the spine in relation to the neural complications of cervical spondylosis. Brain 94:569–586CrossRef

Baba H, Furusawa N, Chen Q, Imura S (1995) Cervical laminoplasty in patients with ossification of the posterior longitudinal ligaments. Paraplegia 33:25–29PubMed

Bohlman HH (1977) Cervical spondylosis with moderate to severe myelopathy: A report of seventeen cases treated by Robinson anterior cervical discectomy and fusion. Spine 2:151–162CrossRef

Brain WR, Northfield DW, Wilkinson M (1952) The neurologic manifestation of cervical spondylosis. Brain 75:187–122PubMedCrossRef

Edwards CC II, Heller JG, Silcox DH III (2000) T-saw laminoplasty for management of cervical spondylotic myelopathy. Spine 25:1788–1794PubMedCrossRef

Ehlings MG, Cooper PR, Errico TJ (1994) Posterior plates in the management of cervical instability: long-term results in 44 patients. J Neurosurg 81:341–349CrossRef

Fornari M, Luccarelli G, Giombini S (1999) Artificial lamina-assisted laminoplasty performed in seven cases. J Neurosurg 91(Spine 1):43–49PubMed

Frank E, Keenen TL (1994) A technique for cervical laminoplasty using mini plates. Br J Neurosurg 8:197–199PubMed

Fujimura Y, Nishi Y (1996) Atrophy of the nuchal muscle and change in cervical curvature after expansive open-door laminoplasty. Arch Orthop Trauma Surg 115:203–205PubMedCrossRef

10.

George B, Gauthier N, Lot G (1999) Multisegmental cervical spondylotic myelopathy and radiculopathy treated by multilevel oblique corpectomies without fusion. Neurosurgery 44(1):81–90PubMedCrossRef

11.

Gillett G, Erasmus AM, Lind CRP (1999) CG-clip expansive opendoor laminoplasty: a technical note. Br J Neurosurg 13:405–408PubMedCrossRef

12.

Goel V, Clark CR, Harris KG, Schulte KR (1988) Kinematics of the cervical spine: effects of multiple total laminectomy and facet wiring. J Orthop Res 6:611–619PubMedCrossRef

13.

Graham AW, Swank ML, Kinard RE Lowery GL, Dials BE (1996) Posterior cervical arthrodesis and stabilization with a lateral mass plate. Clinical and computed tomographic evaluation of lateral mass screw placement and associated complications. Spine 21:323–328PubMedCrossRef

14.

Heller JG, Edwards CC, Murakami H, Rodts GE Jr (2001) Laminoplasty versus laminectomy and fusion for multilevel cervical myelopathy: an independent matched cohort analysis. Spine 26:1330–1336PubMedCrossRef

15.

Heller JG (1991) Postlaminectomy kyphosis. In: Frymoyer JW (ed) The adult spine: principles and practice, 2nd edn. Raven, New York

16.

Hirabayashi K, Watanabe K, Wakano K, Suzuki N, Satomi K, Ishii Y (1983) Expansive open-door laminoplasty for cervical spinal stenotic myelopathy. Spine 8:693–699PubMedCrossRef

17.

Hosono N, Sakaura H, Mukai Y, Ishii T, Yoshikawa H (2005) En bloc laminoplasty without dissection of paraspinal muscles. J Neurosurg Spine 3(1):29–33PubMed

18.

Hosono N, Yonenobu K, Ono K (1996) Neck and shoulder pain after laminoplasty. A noticeable complication. Spine 21:1969–1973PubMedCrossRef

19.

Hukuda S, Ogata M, Mochizuki T, Shichikawa K (1988) Laminectomy versus laminoplasty for cervical myelopathy: brief report. J Bone Jt Surg Br 70:325–326

20.

Inoue A, Ikata T, Katoh S (1996) Spinal deformity following surgery for spinal cord tumors and tumorous lesions: analysis based on an assessment of the spinal functional curve. Spinal Cord 34:536–542PubMed

21.

Itoh T, Tsuji H (1985) Technical improvements and results of laminoplasty for compressive myelopathy in the cervical spine. Spine 10:729–736PubMedCrossRef

22.

Iwasaki M, Ebara S, Miyamoto S, Wada E, Yonenobu K (1996) Expansive laminoplasty for cervical radiculomyelopathy due to soft disc herniation. Spine 21:32–38PubMedCrossRef

23.

Iwasaki M, Kawaguchi Y, Kimura T, Yonenobu K (2002) Long-term results of expansive laminoplasty for ossification of the posterior longitudinal ligament of the cervical spine: more than 10 years follow up. J Neurosurg 96(Spine 2):180–189PubMed

24.

Kaptain GJ, Simmons NE, Replogle RE, Pobereskin L (2000) Incidence and outcome of kyphotic deformity following laminectomy for cervical spondylotic myelopathy. J Neurosurg 93(suppl 2):199–204PubMed

25.

Kawaguchi Y, Kanamori M, Ishihara H, Nobukiyo M, Seki S, Kimura T (2003) Preventive measures for axial symptoms following cervical laminoplasty. J Spinal Disord Tech 16:497–501PubMedCrossRef

26.

Kawaguchi Y, Kanamori M, Ishihara H, Ohmori K, Nakamura H, Kimura T (2003) Minimum 10-year follow-up after en bloc cervical laminoplasty. Clin Orthop Relat Res 411:129–39PubMedCrossRef

27.

Kawaguchi Y, Matsui H, Tsuji H (1996) Back muscle injury after posterior lumbar spine surgery. A histologic and enzymatic analysis. Spine 21:941–944PubMedCrossRef

28.

Kawaguchi Y, Matsui H, Ishihara H (2000) Surgical outcome of cervical expansive laminoplasty in patients with diabetes mellitus. Spine 25:551–555PubMedCrossRef

29.

Kawakami M, Tamaki T, Yoshida M (1993) Radiological changes of the sagittal alignment and the paravertebral muscles after cervical laminoplasty. Seikei Geka 44:255–260

30.

Kimura I, Shingu H, Nasu Y (1995) Long-term follow-up of cervical spondylotic myelopathy treated by canal-expansive laminoplasty. J Bone Jt Surg Br 77:956–961

31.

Kumar V, Rea GL, Mervis LJ, McGregor JM (1999) Cervical spondylotic myelopathy: functional and radiographic long-term outcome after laminectomy and posterior fusion. Neurosurgery 44:771–778PubMedCrossRef

32.

Kurokawa T, Nakamura K, Hoshino U (1995) On double door laminoplasty splitting spinous processes for stenosis of cervical spine. Rinsho Seikei Geka 30:566–571

33.

Kurokawa T, Tsuyama N, Tanaka H (1982) Enlargement of spinal canal by the sagittal splitting of the spinous process. Bessatsu Seikei Geka 2:234–240

34.

Law MD Jr, Bernhardt M, White AA III (1995) Evaluation and management of cervical spondylotic myelopathy. Instr Course Lect 44:99–110PubMed

35.

Macdonald RL, Fehlings MG, Tator CH, Lozano A, Fleming JR, Gentili F, Bernstein M, Wallace MC, Tasker RR (1977) Multilevel anterior cervical corpectomy and fibular allograft fusion for cervical myelopathy. J Neurosurg 86(6):990–997

36.

Mikawa Y, Shikata J, Yamamuro T (1987) Spinal deformity and instability after multilevel cervical laminectomy. Spine 12:6–11PubMedCrossRef

37.

Morimoto T, Matsuyama T, Hirabayashi H, Sakaki T, Yabuno T (1997) Expansive laminoplasty for multilevel cervical OPLL. J Spinal Disord 10:296–298PubMedCrossRef

38.

Nakano K, Harata S, Suetsuna F, Araki T, Itoh J (1992) Spinous process-splitting laminoplasty using hydroxyapatite spinous process spacer. Spine 17S:41–43

39.

Nurick S (1972) The natural history and the results of surgical treatment of the spinal cord disorder associated with cervical spondylosis. Brain 95:101–108PubMedCrossRef

40.

O’Brien MF, Peterson D, Casey AT, Crockard HA (1996) A novel technique for laminoplasty augmentation of spinal canal area using titanium miniplate stabilization. A computerized morphometric analysis. Spine 21:474–483PubMedCrossRef

41.

Oyama M, Hattori S, Moriwaki N (1973) A new method of posterior decompression. Chubusesaisi 16:792

42.

Pavlov H, Torg JS, Robie B, Jahre C (1987) Cervical spinal stenosis: determination with vertebral body ratio method. Radiology 164:771–775PubMed

43.

Ratliff JK, Cooper PR (2003) Cervical laminoplasty: a critical review. J Neurosurg 98(Spine 3):230–238PubMed

44.

Robinson RA, Walker AE, Ferlic DC (1962) The results of anterior interbody fusion of the cervical spine. J Bone Jt Surg Am 44:1569–1587

45.

Roselli R, Pompucci A, Fomica F (2000) Open-door laminoplasty for cervical stenotic myelopathy: surgical technique and neurophysiological monitoring. J Neurosurg 92(Spine 1):38–43PubMed

46.

Saunders RL, Pikus HJ, Ball P (1998) Four-level cervical corporectomy. Spine 23:2455–2461PubMedCrossRef

47.

Satomi K, Nishu Y, Kohno T, Hirabayashi K (1994) Long-term follow-up studies of open-door expansive laminoplasty for cervical stenotic myelopathy. Spine 19:507–510PubMedCrossRef

48.

Seichi A, Takeshita K, Ohishi I (2001) Long-term results of double-door laminoplasty for cervical stenotic myelopathy. Spine 26:479–487PubMedCrossRef

49.

Shaffrey C, Wiggins GC, Piccirilli CB (1999) Modified open-door laminoplasty for treatment of neurological deficits in younger patients with congenital spinal stenosis: analysis of clinical and radiographic data. J Neurosurg 90(Spine 2):170–177PubMed

50.

Sim F, Svien HJ, Bickel WH, Janes JM (1974) Swan-neck deformity following extensive cervical laminectomy. A review of 21 cases. J Bone Jt Surg Am 56:564–580

51.

Tomita K, Kawahara N, Toribatake Y, Heller JG (1998) Expansive midline T-saw laminoplasty (modified spinous process-splitting) for the management of cervical myelopathy. Spine 23:32–37PubMedCrossRef

52.

Tsuzuki N, Abe R, Saiki K, Iizuka T (1996) Tension-band laminoplasty of the cervical spine. Int Orthop 20:275–284PubMedCrossRef

53.

Vaccaro AR, Falatyn SP, Scuderi GJ, McGuire RA, Singh K, Garfin SR (1998) Early failure of long-segment anterior cervical plate fixation. J Spinal Disord 11:410–415PubMed

54.

Wada E, Suzuki S, Kanazawa A, Matsuoka T, Miyamoto S, Yonenobu K (2001) Subtotal corporectomy versus laminoplasty for multilevel cervical spondylotic myelopathy. Spine 26:1443–1448PubMedCrossRef

55.

Whitecloud TS III (1988) Anterior surgery for cervical spondylotic myelopathy: Smith–Robinson, Cloward, and vertebrectomy. Spine 13:861–863PubMedCrossRef

56.

Yasuoka S, Person HA, Laws ER, MacCarty CS (1981) Pathogenesis and prophylaxis of postlaminectomy deformity of the spine after multiple level laminectomy: difference between children and adults. Neurosurgery 9:145–152PubMedCrossRef

57.

Yeh JS, Sgouros S, Walsh AR (2001) Spinal sagittal malalignment following surgery for primary intramedullary tumours in children. Pediatr Neurosurg 35:318–324PubMedCrossRef

58.

Yonenobu K, Hosono N, Iwasaki M, Asano M, Ono K (1992) Laminoplasty versus subtotal corpectomy. A comparative study of results in multisegmental cervical spondylotic myelopathy. Spine 17:1281–1284PubMedCrossRef

59.

Yoshida M, Otani K, Shibasaki K, Ueda S (1992) Expansive laminoplasty with reattachment of spinous process and extensor musculature for cervical myelopathy. Spine 17:491–497PubMedCrossRef

60.

Yoshida M, Tamaki T, Kawakami M, Hayashi N, Ando M (1998) Indication and clinical results of laminoplasty for cervical myelopathy caused by disc herniation with developmental canal stenosis. Spine 23:2391–2397PubMedCrossRef

Title: Double-door laminoplasty in managing multilevel myelopathy: technique description and literature review
Authors: M. Orabi
S. Chibbaro
O. Makiese
J. F. Cornelius
B. George
Publication date: 01-01-2008
Publisher: Springer-Verlag
Published in: Neurosurgical Review / Issue 1/2008
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-007-0114-4

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Double-door laminoplasty in managing multilevel myelopathy: technique description and literature review

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