CenterpieceTM微型钢板在颈椎单开门椎管扩大成形术中的应用—附14例报告

Abstract

Abstract:

Objective　To evaluate the clinical outcome of expansive open-door laminoplasty using Centerpiece Titanium Miniplate internal fixation.　Methods　14 cases with cervical spondylotic myelopathy(CSM) underwent expansive open-door laminoplasty, and CenterpieceTM plate internal fixation in C3, C5 and C7 segments. Neurological deficits pre- and post- operation were assessed using a scoring system proposed by Japanese Orthopaedic Association (JOA score).　Results　The period of follow-up lasted from 6 months to 2 years with a mean of 13.6 months. The JOA score were improved from 11.1 points pre-operation to 15.3 points at the latest follow-up(P<0.05). Reclosed open-door was not found. There were 2 cases had slight axial symptoms like neck pain and neck movement two months after the operation, and released when six months follow-up.　Conclusions　Expansive open-door laminoplasty is a reliable procedure for CSM. Centerpiece TM plate internal fixation may be an effective measure to prevent reclosed open-door and postoperative axial syndromes.

Key words: Cervical spondylotic myelopathy, Laminoplasty, Internal fixation

CLC Number:

R653

ZHANG Shun-Cong, JIANG Xiao-Bing, TANG Yong-Chao, LIANG De, YANG Zhi-Dong, JIN Da-Xiang, TAO Zhen-Song. Clinical application of expansive open-door laminoplasty using CenterpieceTM titanium miniplate: an analysis of 14 cases[J]. Chinese Journal Of Clinical Anatomy, 2012, 30(3): 356-358.

References

[1] Oyama M,Hattori S, Moriwaki N. A new method of posterior decompression
[in japanese]. Central Japan Journal of Orthopaedic Surgery and Traumatology,1973,16:792-794.

[2] 王少波,蔡钦林,党耕町,等.单开门颈椎椎管扩大成型术的远期疗效观察
[J].中华骨科杂志,1999,19(9):519-521.

[3] Bogduk N,Marsland A. The cervical zygapophyseal joints as a source of neck pain
[J]. Spine,1988,13(6):610-617.

[4] Dwyer A,Aprill C,Bogduk N. Cervical zygapophyseal joint pain Patterns 1:A study in normal volunteers
[J]. Spine,1990,15(4):453-457.

[5] Hosono N,Yonenobu K,Ono K. Neck and shoulder pain after laminoplasty: a noticeable complication
[J]. spine,1996,21(17):1969-1973.

[6] Pavlov H,Torg JS,Robie B,et a1. Cervical spinal stenosis: determination with vertebral body ratio method
[J]. Radiology, 1987,164(3):771-775.

[7] Hirabayashi K. Expensive open-door laminoplasty for cervical spondylotic myelopathy
[J]. Shujutsu,1978,32(10):1159-1163.

[8] Hirabayashi K,Watanabe K,Wakano K,etal. Expansive open-door laminoplasty for cervical spinal stenotic myelopathy
[J]. Spine,1983,8(7):693-699.

[9] 孙宇,张凤山,潘胜发,等. “锚定法”改良单开门椎管成形术及其临床应用
[J]. 中国脊柱脊髓杂志,2004,14(9):517-519.

[10]蔡钦林,王少波,李迈,等. 颈椎病手术并发症的防治
[J].中国脊柱脊髓杂志,1995,5(5):200-202.

[11]O'Brien M, Peterson D, Casey ATH, Crockard HA. A novel technique for laminoplasty augmentation of spinal canal area using titanium miniplate stabilization: a computerized morphometric analysis
[J]. Spine,1996,21(6):474-484.

[12]孙宇,潘胜发,陈景春,等. 单开门颈椎管扩大椎板成形术对颈椎运动的影响
[J].中国脊柱脊髓杂志,2003,13(4):212-215.

[1]	Luo Ying, Dou Weiyu, Wu Xiaohang, Chen Jingkun, Peng Changgui, Pan Jianying . Risk factors of postoperative complications of calcaneal fractures treated with hippocampal plate internal fixation through minimally invasive method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 83-88.
[2]	Huang Hai, Ouyang Jun. Progress in internal fixation for femoral neck fractures in adults [J]. Chinese Journal of Clinical Anatomy, 2023, 41(6): 751-753.
[3]	Yang Hua, Xiang Lei, Jiang Hongbing, Hu Bingbing, Zeng Canjun, Zhang Bin, Liu Wei. Comparison of clinical efficacy of modified Stoppa approach and modified pararecutus abdominis approach in the treatment of acetabulum fractures [J]. Chinese Journal of Clinical Anatomy, 2023, 41(5): 603-607.
[4]	Duan Qifei, Liang Guoyan, Hunag Shuaihao, Chen chong, Ye Yongyu, Chang Yunbing. Research progress on factors influencing clinical efficacy after laminoplasty in patients with degenerative cervical myelopathy [J]. Chinese Journal of Clinical Anatomy, 2023, 41(5): 623-626.
[5]	Chang Shusen, He Chunnian, Chen Wei, Zhou Jian, Zhang Fang, Nie Kaiyu, Deng Chengliang, Wei Zairong. Application of descending branch of lateral circumflex femoral artery Flow-through flap combined with MIPPO in emergency treatment of Gustilo type IIIC fracture of tibiofibula [J]. Chinese Journal of Clinical Anatomy, 2022, 40(6): 733-737.
[6]	Li Rui, Zhang Renzan, Liu Zhengpeng, Sun He, Zhang Yilong. Effect of different fusion methods on stress response in patients with multi segmental lumbar spinal stenosis combined with lumbar disc herniation [J]. Chinese Journal of Clinical Anatomy, 2022, 40(5): 599-604.
[7]	Wang Tianfang, Cai Li, Shi Haifeng, Yin Qudong, Wu Yongwei. The effect of suture Nice knot tension band combined with lag screw fixation for simple transverse olecranon fracture [J]. Chinese Journal of Clinical Anatomy, 2022, 40(4): 476-479.
[8]	Jiang Guanyin, Ou Yunsheng, Zhu Yong, Luo Wei, Du Xing, Zhang Wei, Qin Wanyuan. Study on the curative effects of granular bone graft, titanium mesh bone graft and iliac bone graft in single-segment lumbar tuberculosis focus debridement by posterior approach [J]. Chinese Journal of Clinical Anatomy, 2022, 40(2): 204-210.
[9]	Hou Jun, Shi Dongdong, Pan Qing, Chen Changcheng, Chen Qianfen. Anatomical study and clinical significance of the middle axillary approach in the treatment of T₂~T₅ vertebral lesions [J]. Chinese Journal of Clinical Anatomy, 2021, 39(4): 384-388.
[10]	Wu Mingjie, Zhuang Weida, Zheng Jie, Li Xiuwang, Chen Min, Fan Xiaohai, Wu Jiachang, Sang Hongxun. Computerized navigation system assisted the placement of the cannulated screw and internal fixation for the treatment of femoral neck fractures [J]. Chinese Journal of Clinical Anatomy, 2021, 39(4): 454-459.
[11]	Ge Nunnun, Fan Chenghu, Qi Bingxian, Tang Zhonghai, Lu Kai. Clinical observation of reconstruction of C2 muscle ligamentous complex with open-door laminoplasty for the treatment of OPLL involving C2 [J]. Chinese Journal of Clinical Anatomy, 2021, 39(4): 465-468.
[12]	Zhou Jianqiang, Zhang Shaojie, Li Zhijun. Advances in diagnosis and treatment of children with lower cervical fixation [J]. Chinese Journal of Clinical Anatomy, 2021, 39(4): 492-495.
[13]	Yu Lanzhe, Cui Shangbin, Wei Fuxin, Wang Le, Liu Shaoyu. Comparison of open angle of two different methods to make hinges in cervical expansive laminoplasty [J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 224-227.
[14]	PU Zhi-chao, HUANG Kun-bing, XUE Jian, XIE Wei-yong . Therapeutic effect of Wiltse muscle interstitial approach combined with vertebral screw placement for the treatment of thoracolumbar fractures [J]. Chinese Journal of Clinical Anatomy, 2020, 38(4): 467-470.
[15]	LI Kun, LI Zhi-jun, ZHANG Shao-jie, WANG Xing, LI Xiao-he, GAO Shang, CHEN Jie, HE Yu-jie. Feasibility study of axial laminar screw fixation in children aged 1~6 years [J]. Chinese Journal of Clinical Anatomy, 2020, 38(2): 166-170.

Clinical application of expansive open-door laminoplasty using CenterpieceTM titanium miniplate: an analysis of 14 cases

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0