The effect of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy
Abstract Objective The effects of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy were explored and discussed. Method Patients, who underwent extended laminoplasty combined with dural release for the treatment of multi-level cervical myelopathy (35 cases,...
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doaj-73bf8777be3a44579546a70ad5b002552020-11-25T02:55:59ZengBMCBMC Musculoskeletal Disorders1471-24742019-05-012011610.1186/s12891-019-2554-8The effect of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathyYuwei Li0Xiaoyun Yan1Wei Cui2Yonghui Zhang3Cheng Li4Department of Orthopedics, Luohe Central Hospital of OrthopedicsDepartment of Orthopedics, Luohe Central Hospital of OrthopedicsDepartment of Orthopedics, Luohe Central Hospital of OrthopedicsDepartment of Orthopedics, Luohe Central Hospital of OrthopedicsDepartment of Orthopedics, Luohe Central Hospital of OrthopedicsAbstract Objective The effects of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy were explored and discussed. Method Patients, who underwent extended laminoplasty combined with dural release for the treatment of multi-level cervical myelopathy (35 cases, group A), were compared with patients who underwent simple extended laminoplasty (38 cases, group B). The JOA score, improvement rate, VAS score, distance of retroposition of the spinal cord, cervical lordosis were compared between the two groups. Results Dural laceration occurred to five patients during surgery, three in group A and two in group B; cerebrospinal fluid leakage occurred to five patients, three in group A and two in group B. All patients were followed up for 10 to 48 months (mean 20.3 months). JOA scores and VAS scores in the last follow up period were significantly improved in the two groups than preoperative scores (p < 0.05). The improvement rate and JOA scores in group A were significantly higher than group B, while VAS scores in group A were significantly lower than group B (p < 0.05). There were no significant differences in cervical lordosis in the two groups in the last follow up (p > 0.05), and the distance of retroposition of the spinal cord in group A was higher than B (p < 0.05). No shut-up of the ‘door’ of vertebral lamina occurred in the period of follow-up. Conclusion Dural release on extended laminoplasty can achieve retroposition of the spinal cord for multi-level cervical myelopathy, which is more effective than simple extended laminoplasty.http://link.springer.com/article/10.1186/s12891-019-2554-8Dural releaseExtended laminoplastyMulti-level cervical myelopathy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yuwei Li Xiaoyun Yan Wei Cui Yonghui Zhang Cheng Li |
spellingShingle |
Yuwei Li Xiaoyun Yan Wei Cui Yonghui Zhang Cheng Li The effect of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy BMC Musculoskeletal Disorders Dural release Extended laminoplasty Multi-level cervical myelopathy |
author_facet |
Yuwei Li Xiaoyun Yan Wei Cui Yonghui Zhang Cheng Li |
author_sort |
Yuwei Li |
title |
The effect of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy |
title_short |
The effect of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy |
title_full |
The effect of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy |
title_fullStr |
The effect of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy |
title_full_unstemmed |
The effect of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy |
title_sort |
effect of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy |
publisher |
BMC |
series |
BMC Musculoskeletal Disorders |
issn |
1471-2474 |
publishDate |
2019-05-01 |
description |
Abstract Objective The effects of dural release on extended laminoplasty for the treatment of multi-level cervical myelopathy were explored and discussed. Method Patients, who underwent extended laminoplasty combined with dural release for the treatment of multi-level cervical myelopathy (35 cases, group A), were compared with patients who underwent simple extended laminoplasty (38 cases, group B). The JOA score, improvement rate, VAS score, distance of retroposition of the spinal cord, cervical lordosis were compared between the two groups. Results Dural laceration occurred to five patients during surgery, three in group A and two in group B; cerebrospinal fluid leakage occurred to five patients, three in group A and two in group B. All patients were followed up for 10 to 48 months (mean 20.3 months). JOA scores and VAS scores in the last follow up period were significantly improved in the two groups than preoperative scores (p < 0.05). The improvement rate and JOA scores in group A were significantly higher than group B, while VAS scores in group A were significantly lower than group B (p < 0.05). There were no significant differences in cervical lordosis in the two groups in the last follow up (p > 0.05), and the distance of retroposition of the spinal cord in group A was higher than B (p < 0.05). No shut-up of the ‘door’ of vertebral lamina occurred in the period of follow-up. Conclusion Dural release on extended laminoplasty can achieve retroposition of the spinal cord for multi-level cervical myelopathy, which is more effective than simple extended laminoplasty. |
topic |
Dural release Extended laminoplasty Multi-level cervical myelopathy |
url |
http://link.springer.com/article/10.1186/s12891-019-2554-8 |
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