Subacute subdural hematoma (SDH) is one of the most common clinical entities encountered in daily neurosurgical practice. The imaging of computed tomography (CT) has made a major impact on the diagnosis of subacute SDH. Although unilateral chronic lesion of SDH as a result of a space-occupying lesion is usually easily recognizable on CT scan, subacute SDH appearing in lenticular form may cause considerable difficulty, particularly when its appearance mimics the classic CT scan appearance of an epidural hematoma (EDH). Pathognomonic findings on CT scan are usually sufficient to establish a correct diagnosis, though the presence of such appearance can also be a misleading finding, especially in an infant patient.
Objective: Cervical spondylotic myelopathy (CSM) is a common degenerative spine disease that requires surgical intervention if conservative failed. Currently, there is interest in various technical of laminoplasty. To review outcome of patients who underwent single-door cervical laminoplasty using titanium miniplates alone. Materials and methods:The author performed surgery in patients with CSM by unilateral open-door laminoplasty, which allows through decompression of the cervical spinal canal. Pain was measured with a visual analog scale (VAS). Surgical outcome was analyzed with the modified Japanese Orthopaedic Association (mJOA) score.Results: Visual analog scale scores and mJOA were signi ficantly improved at 1, 2 and 3 years followup compared to preoperative levels. Recovery rate mJOA score 27,7%, excellent pain relief (100% of initial VAS score). Conclusion:Opendoor laminoplasty is easily applied for young spine surgeon, allows good field visualization and decompression, single-door cervical laminoplasty using miniplates alone is a safe technique and achieves a high hinge union rate, good canal decompresion and neurological recovery.
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