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Açık-kapı laminoplasti sonrası spinal kanal çapı: Tavşan modelli deneysel çalışma

Year 2013, Volume: 47 Issue: 2, 118 - 121, 26.04.2013

Abstract

Amaç: Tavşanlar üzerinde yapılan bu deneysel çalışmada düğüm ile tespit edilen açık-kapı laminoplasti ameliyatının spinal kanal çapına aneliyat sonrası erken dönemdeki etkisinin incelenmesi amaçlandı.
Çalışma planı: Çalışmaya alınan 20 beyaz Yeni Zelanda tavşanına C4 ile C7 arası seviyelere Hirabayashi açık-kapı laminoplasti uygulandı. Kobayların spinal kanal çapı operasyon öncesi 1. günde ve operasyon sonrası 1. ve 42. günlerde radyolojik olarak değerlendirildi.
Bulgular: Ortalama spinal kanal çapı ameliyat öncesi 6.42 mm, ameliyat sonrası 1.gün 8.04 mm ve 42. gün 8.02 mm olarak bulundu. Ameliyat öncesi ortalama değere göre tavşanların spinal kanal çapları ameliyat sonrası 1. günde anlamlı olarak yüksek bulundu (p<0.001). Ameliyat sonrası 1. ve 42. gün ortalama değerleri arasında anlamlı fark bulunmadı (p>0.05).
Çıkarımlar: Sonuçlarımız tavşan modelinde uygulanan düğüm tespitli açık-kapı laminoplastinin spinal kanal çapını anlamlı olarak arttırdığını ve bu etkinin ameliyat sonrası erken dönemde korunduğunu göstermektedir.

References

  • Cervical spondilosis. In: Bridwell KH, DeWald RL, editors. The textbook of spinal surgery. 2nd ed. Philadelphia: Lippincott-Raven Publishers; 1997. p. 744-51.
  • Alexander JT. Natural history and nonoperative management of cervical spondylosis. In: Menezes AH, Sonntag VK, editors. Principles of spinal surgery. New York: McGraw-Hill Companies, Health Professions Division; 1996. p. 547-57.
  • White AA, Southwick WO, Panjabi MM. Clinical instabili- ty in the lower cervical spine: A review of past and current concepts. Spine (Phila Pa 1976) 1976;1:15-27.
  • Tanaka J, Seki N, Tokimura F, Doi K, Inoue S. Operative results of canal-expansive laminoplasty for cervical spondy- lotic myelopathy in elderly patients. Spine (Phila Pa 1976) 1999;24:2308-12.
  • Hirabayashi K. Expansive open-door laminoplasty for cervi- cal spondylotic myelopathy. Shujutsu 1978;32:1159-63.
  • Hirabayashi K, Miyakawa J, Satomi K, Maruyama T, Wakano K. Operative results and postoperative progression of ossification among patients with cervical posterior longi- tudinal ligament. Spine (Phila Pa 1976) 1981;6:354-64.
  • Miyata M, Neo M, Fujibayashi S, Takemoto M, Nakamura T. Double-door cervical laminoplasty with the use of suture anchors: technical note. J Spinal Disord Tech 2008;21:575-8.
  • Chiba K, Ogawa Y, Ishii K, Takaishi H, Nakamura M, Maruiwa H, Matsumoto M, Toyama Y. Long-term results of expansive open-door laminoplasty for cervical myelopathy- average 14-year follow-up study. Spine (Phila Pa 1976) 2006; 31:2998-3005.
  • Chen HC, Chang MC, Yu WK, Wang ST, Liu CL, Chen TH. Lateral mass anchoring screws for cervical laminoplas- ty: preliminary report of a novel technique. J Spinal Disord Tech 2008;21:387-92.
  • Hirabayashi K, Toyama Y, Chiba K. Expansive laminoplas- ty for myelopathy in ossification of the longitudinal liga- ment. Clin Orthop 1999;(359):35-48.
  • Roselli R, Pompucci A, Formica F, Restuccia D, Di Lazzaro V, Valeriani M, Scerrati M. Open-door laminoplasty for cer- vical stenotic myelopathy: surgical technique and neurophysi- ological monitoring. J Neurosurg 2000;92(1 Suppl):38-43.
  • Lee TT, Green BA, Gromelski EB. Safety and stability of open-door cervical expansive laminoplasty. J Spinal Disord 1998;11:12-5.
  • Itoh T, Tsuji H. Technical improvements and results of laminoplasty for compressive miyelopathy in the cervical spine. Spine (Phila Pa 1976) 1985;10:729-36.
  • Shaffrey CI, Wiggins GC, Piccirilli CB, Young JN, Lovell LR. Modified open-door laminoplasty for treatment of neurologi- cal deficits in younger patients with congenital spinal stenosis: analysis of clinical and radiographic data. J Neurosurg 1999; 90(2 Suppl):170-7.
  • Tani S, Isoshima A, Nagashima Y, Tomohiko Numoto R, Abe T. Laminoplasty with preservation of posterior cervical elements: surgical technique. Neurosurgery 2002;50:97-102.
  • Kihara S, Umebayashi T, Hoshimaru M. Technical improve- ments and results of open-door expansive laminoplasty with hydroxyapatite implants for cervical myelopathy. Neurosurgery 2005;57(4 Suppl):348-56.
  • Patel CK, Cunningham BJ, Herkowitz HN. Techniques in cervical laminoplasty. Spine J 2002;2:450-5.
  • Fields MJ, Hoshijima K, Feng AH, Richardson WJ, Myers Bs. A biomechanical, radiologic, and clinical comparison of outcome after multilevel cervical laminectomy or lamino- plasty in the rabbit. Spine (Phila Pa 1976) 2000;25:2925-31.
  • Hirabayashi K, Satomi K. Operative procedure and results of expansive open-door laminoplasty. Spine (Phila Pa 1976) 1988; 13:870-6.
  • Wang JM, Roh KJ, Kim DJ, Kim DW. A new metod of sta- bilising the elevated lamina in open-door laminoplasty using an anchor sistem. J Bone Joint Surg Br 1998;80:1005-8.
  • Herkowitz HN. A comparison of anterior cervical fusion, cervical laminectomy, and cervical laminoplasty for the sur- gical manegement of multiple level spondylotic radiculopa- thy. Spine (Phila Pa 1976) 1988;13:774-80.
  • Herkowitz HN. Surgical management of cervical disc dis- ease: open-door laminoplasty. Semin Spine Surg 1989;1: 245-53.
  • Hirabayashi K, Watanabe K, Wakano K, Suzuki N, Satomi K, Ishii Y. Expansive open-door laminoplasty for cervicai spine stenotic myelopathy. Spine (Phila Pa 1976) 1983;8:693-9.
  • O’Brien MF, Peterson D, Casey AT, Crockard HA. A novel technique for laminoplasty augmentation of spinal canal area using titanium miniplate stabilization. A computerized mor- phometric analysis. Spine (Phila Pa 1976) 1996;21:474-83.
  • Asgari S, Bassiouni H, Massoud N, Schlamann M, Stolke D, Sandalcioglu IE. Decompressive laminoplasty in multiseg- mental cervical spondylotic myelopathy: bilateral cutting versus open-door technique. Acta Neurochir (Wien) 2009; 151:739-49.
  • Yang SC, Niu CC, Chen WJ, Wu CH, Yu SW. Open-door laminoplasty for multilevel cervical spondylotic myelopathy: good outcome in 12 patients using suture anchor fixation. Acta Orthop 2008;79:62-6.

The effect of expansive open-door laminoplasty on spinal canal diameter: an experimental study on rabbits

Year 2013, Volume: 47 Issue: 2, 118 - 121, 26.04.2013

Abstract

Objective: The aim of this experimental study was to evaluate the effect of expansive open-door laminoplasty with simple suture fixation on spinal canal diameter in a rabbit model.
Methods: Twenty white New Zealand rabbits were operated on with C4-C7 Hirabayashi open-door laminoplasty. The spinal canal diameter was evaluated radiologically on preoperative day 1 and postoperative days 1 and 42.
Results: The mean spinal canal diameter was 6.42 mm preoperatively, 8.04 mm on postoperative day 1 and 8.02 mm at day 42. There was a significant difference between the mean preoperative and postoperative day 1 spinal canal diameter (p<0.001). There was no significant difference between the mean spinal canal diameter at postoperative day 1 and 42 (p>0.05).
Conclusion: Our results suggest that the open-door laminoplasty with simple suture fixation is an effective method to expand the spinal canal diameter. No recurrent narrowing is expected in short term. 

References

  • Cervical spondilosis. In: Bridwell KH, DeWald RL, editors. The textbook of spinal surgery. 2nd ed. Philadelphia: Lippincott-Raven Publishers; 1997. p. 744-51.
  • Alexander JT. Natural history and nonoperative management of cervical spondylosis. In: Menezes AH, Sonntag VK, editors. Principles of spinal surgery. New York: McGraw-Hill Companies, Health Professions Division; 1996. p. 547-57.
  • White AA, Southwick WO, Panjabi MM. Clinical instabili- ty in the lower cervical spine: A review of past and current concepts. Spine (Phila Pa 1976) 1976;1:15-27.
  • Tanaka J, Seki N, Tokimura F, Doi K, Inoue S. Operative results of canal-expansive laminoplasty for cervical spondy- lotic myelopathy in elderly patients. Spine (Phila Pa 1976) 1999;24:2308-12.
  • Hirabayashi K. Expansive open-door laminoplasty for cervi- cal spondylotic myelopathy. Shujutsu 1978;32:1159-63.
  • Hirabayashi K, Miyakawa J, Satomi K, Maruyama T, Wakano K. Operative results and postoperative progression of ossification among patients with cervical posterior longi- tudinal ligament. Spine (Phila Pa 1976) 1981;6:354-64.
  • Miyata M, Neo M, Fujibayashi S, Takemoto M, Nakamura T. Double-door cervical laminoplasty with the use of suture anchors: technical note. J Spinal Disord Tech 2008;21:575-8.
  • Chiba K, Ogawa Y, Ishii K, Takaishi H, Nakamura M, Maruiwa H, Matsumoto M, Toyama Y. Long-term results of expansive open-door laminoplasty for cervical myelopathy- average 14-year follow-up study. Spine (Phila Pa 1976) 2006; 31:2998-3005.
  • Chen HC, Chang MC, Yu WK, Wang ST, Liu CL, Chen TH. Lateral mass anchoring screws for cervical laminoplas- ty: preliminary report of a novel technique. J Spinal Disord Tech 2008;21:387-92.
  • Hirabayashi K, Toyama Y, Chiba K. Expansive laminoplas- ty for myelopathy in ossification of the longitudinal liga- ment. Clin Orthop 1999;(359):35-48.
  • Roselli R, Pompucci A, Formica F, Restuccia D, Di Lazzaro V, Valeriani M, Scerrati M. Open-door laminoplasty for cer- vical stenotic myelopathy: surgical technique and neurophysi- ological monitoring. J Neurosurg 2000;92(1 Suppl):38-43.
  • Lee TT, Green BA, Gromelski EB. Safety and stability of open-door cervical expansive laminoplasty. J Spinal Disord 1998;11:12-5.
  • Itoh T, Tsuji H. Technical improvements and results of laminoplasty for compressive miyelopathy in the cervical spine. Spine (Phila Pa 1976) 1985;10:729-36.
  • Shaffrey CI, Wiggins GC, Piccirilli CB, Young JN, Lovell LR. Modified open-door laminoplasty for treatment of neurologi- cal deficits in younger patients with congenital spinal stenosis: analysis of clinical and radiographic data. J Neurosurg 1999; 90(2 Suppl):170-7.
  • Tani S, Isoshima A, Nagashima Y, Tomohiko Numoto R, Abe T. Laminoplasty with preservation of posterior cervical elements: surgical technique. Neurosurgery 2002;50:97-102.
  • Kihara S, Umebayashi T, Hoshimaru M. Technical improve- ments and results of open-door expansive laminoplasty with hydroxyapatite implants for cervical myelopathy. Neurosurgery 2005;57(4 Suppl):348-56.
  • Patel CK, Cunningham BJ, Herkowitz HN. Techniques in cervical laminoplasty. Spine J 2002;2:450-5.
  • Fields MJ, Hoshijima K, Feng AH, Richardson WJ, Myers Bs. A biomechanical, radiologic, and clinical comparison of outcome after multilevel cervical laminectomy or lamino- plasty in the rabbit. Spine (Phila Pa 1976) 2000;25:2925-31.
  • Hirabayashi K, Satomi K. Operative procedure and results of expansive open-door laminoplasty. Spine (Phila Pa 1976) 1988; 13:870-6.
  • Wang JM, Roh KJ, Kim DJ, Kim DW. A new metod of sta- bilising the elevated lamina in open-door laminoplasty using an anchor sistem. J Bone Joint Surg Br 1998;80:1005-8.
  • Herkowitz HN. A comparison of anterior cervical fusion, cervical laminectomy, and cervical laminoplasty for the sur- gical manegement of multiple level spondylotic radiculopa- thy. Spine (Phila Pa 1976) 1988;13:774-80.
  • Herkowitz HN. Surgical management of cervical disc dis- ease: open-door laminoplasty. Semin Spine Surg 1989;1: 245-53.
  • Hirabayashi K, Watanabe K, Wakano K, Suzuki N, Satomi K, Ishii Y. Expansive open-door laminoplasty for cervicai spine stenotic myelopathy. Spine (Phila Pa 1976) 1983;8:693-9.
  • O’Brien MF, Peterson D, Casey AT, Crockard HA. A novel technique for laminoplasty augmentation of spinal canal area using titanium miniplate stabilization. A computerized mor- phometric analysis. Spine (Phila Pa 1976) 1996;21:474-83.
  • Asgari S, Bassiouni H, Massoud N, Schlamann M, Stolke D, Sandalcioglu IE. Decompressive laminoplasty in multiseg- mental cervical spondylotic myelopathy: bilateral cutting versus open-door technique. Acta Neurochir (Wien) 2009; 151:739-49.
  • Yang SC, Niu CC, Chen WJ, Wu CH, Yu SW. Open-door laminoplasty for multilevel cervical spondylotic myelopathy: good outcome in 12 patients using suture anchor fixation. Acta Orthop 2008;79:62-6.
There are 26 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Experimental Study
Authors

Massoud Fateh This is me

Baransel Saygi This is me

Ozgur Karaman This is me

Murat Bezer This is me

Publication Date April 26, 2013
Published in Issue Year 2013 Volume: 47 Issue: 2

Cite

APA Fateh, M., Saygi, B., Karaman, O., Bezer, M. (2013). The effect of expansive open-door laminoplasty on spinal canal diameter: an experimental study on rabbits. Acta Orthopaedica Et Traumatologica Turcica, 47(2), 118-121.
AMA Fateh M, Saygi B, Karaman O, Bezer M. The effect of expansive open-door laminoplasty on spinal canal diameter: an experimental study on rabbits. Acta Orthopaedica et Traumatologica Turcica. April 2013;47(2):118-121.
Chicago Fateh, Massoud, Baransel Saygi, Ozgur Karaman, and Murat Bezer. “The Effect of Expansive Open-Door Laminoplasty on Spinal Canal Diameter: An Experimental Study on Rabbits”. Acta Orthopaedica Et Traumatologica Turcica 47, no. 2 (April 2013): 118-21.
EndNote Fateh M, Saygi B, Karaman O, Bezer M (April 1, 2013) The effect of expansive open-door laminoplasty on spinal canal diameter: an experimental study on rabbits. Acta Orthopaedica et Traumatologica Turcica 47 2 118–121.
IEEE M. Fateh, B. Saygi, O. Karaman, and M. Bezer, “The effect of expansive open-door laminoplasty on spinal canal diameter: an experimental study on rabbits”, Acta Orthopaedica et Traumatologica Turcica, vol. 47, no. 2, pp. 118–121, 2013.
ISNAD Fateh, Massoud et al. “The Effect of Expansive Open-Door Laminoplasty on Spinal Canal Diameter: An Experimental Study on Rabbits”. Acta Orthopaedica et Traumatologica Turcica 47/2 (April 2013), 118-121.
JAMA Fateh M, Saygi B, Karaman O, Bezer M. The effect of expansive open-door laminoplasty on spinal canal diameter: an experimental study on rabbits. Acta Orthopaedica et Traumatologica Turcica. 2013;47:118–121.
MLA Fateh, Massoud et al. “The Effect of Expansive Open-Door Laminoplasty on Spinal Canal Diameter: An Experimental Study on Rabbits”. Acta Orthopaedica Et Traumatologica Turcica, vol. 47, no. 2, 2013, pp. 118-21.
Vancouver Fateh M, Saygi B, Karaman O, Bezer M. The effect of expansive open-door laminoplasty on spinal canal diameter: an experimental study on rabbits. Acta Orthopaedica et Traumatologica Turcica. 2013;47(2):118-21.