Preserving the C7 spinous process in laminectomy combined with lateral mass screw to prevent axial symptom

Zhang, Peng; Shen, Yong; Zhang, Yingze; Ding, Wenyuan; Xu, Jiaxin; Cao, Jianzhong

doi:10.1007/s00776-011-0115-6

Cited by 21 publications

(21 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Takeuchi et al [30] and Zhang et al [31] demonstrated that the C7 spinous process might play an important role in preventing axial symptoms, and axial symptom severity might be affected by musculature atrophy. Axial symptoms might also be caused by other problems, such as nuchal muscle intraoperative injury, destruction of facet joints, intraoperative nerve root damage and hinge side nonunion.…”

Section: Discussionmentioning

confidence: 99%

Long-term impacts of different posterior operations on curvature, neurological recovery and axial symptoms for multilevel cervical degenerative myelopathy

Wang

Shen

et al. 2013

Eur Spine J

Self Cite

View full text Add to dashboard Cite

PurposeTo investigate the long-term impacts of different posterior operations on curvature, neurological improvement and axial symptoms for multilevel cervical degenerative myelopathy (CDM), and to study the relationship among loss of cervical lordosis, recovery rate and axial symptom severity.MethodsWe retrospectively reviewed 98 patients with multilevel CDM who had undergone laminoplasty (Group LP, 36 patients), laminectomy (Group LC, 30 patients), or laminectomy with lateral mass screw fixation (Group LCS, 32 patients) between January 2000 and January 2005. Loss of curvature index (CI) was measured according to the preoperative and final follow-up radiographic parameters. The recovery rate was calculated based on the Japanese Orthopedic Association (JOA) score. Axial symptom severity was quantified by Neck Disability Index (NDI).ResultsAnalysis of final follow-up data showed significant differences among the three groups regarding loss of CI (F = 41.46, P < 0.001) between preoperative and final follow-up JOA scores (P < 0.001), final follow-up JOA score (F = 7.81, P < 0.001), recovery rate (F = 12.98, P < 0.001) and axial symptom severity (χ2 = 18.04, P < 0.001). Loss of CI showed negative association with neurological recovery (r = −0.555, P < 0.001) and positive correlation with axial symptom severity (r = 0.696, P < 0.001).ConclusionsExcellent neurological improvement was obtained by LP and LCS for patients with multilevel CDM, while loss of CI in groups LP and LC caused a high incidence of axial symptoms. Loss of CI was correlated with poor neurological recovery and axial symptom severity. Lateral mass screw fixation can effectively prevent loss of postoperative cervical curvature and reduce incidence of axial symptoms.

show abstract

Section: Discussionmentioning

confidence: 99%

Long-term impacts of different posterior operations on curvature, neurological recovery and axial symptoms for multilevel cervical degenerative myelopathy

Wang

Shen

et al. 2013

Eur Spine J

Self Cite

View full text Add to dashboard Cite

show abstract

“…Laminectomy resulted in the enhancement of the JOA score post operation and above 50% of the recovery rate [28][29][30][31]. These studies indicate that this technique provides adequate decompression to the spinal cord.…”

Section: Clinical Outcomementioning

confidence: 65%

“…A study by Zhang et al [29] reported that preserving the C7 spinous process during laminectomy reduces the risk of postoperative axial neck pain. Moreover, the authors [29] found that the axial neck pain is correlated with musculature atrophy after the procedure. Another complication of laminectomy is C5 palsy [30,31].…”

Section: Surgical Outcomementioning

confidence: 99%

Cervical Spondylotic Myelopathy: Pathophysiology and Surgical Approaches

Mardhika¹,

Marta²,

Maliawan³

et al. 2017

Recent Advances in Biology and Medicine

View full text Add to dashboard Cite

This paper reviews the pathophysiology of cervical spondylotic myelopathy (CSM) and several surgical approaches for the treatment of CSM. CSM is a degenerative disease with severe morbidity. The pathophysiology of CSM involves static, dynamic, and ischemic factors. The management of mild CSM typically involves conservative treatments and medication; whereas, moderate and severe CSM are better treated surgically. Surgical treatments for CSM are basically classified into anterior and posterior surgeries. The common techniques are anterior cervical discectomy and fusion (ACDF), anterior cervical corpectomy and fusion (ACCF), laminectomy, and laminoplasty. Each technique has its own advantages and disadvantages. In this paper, we review the research papers from PubMed database to elaborate the advantages and disadvantages of each technique.

show abstract

“…To prevent axial pain, the operation level of CL has been limited from C3 to C6 and the C7 lamina has been cut in a dome-shape when involved 106,107) . However, even after this countermeasure, some patients continue to have complaints.…”

Section: Axial Pain After CLmentioning

confidence: 99%

Development and Achievement of Cervical Laminoplasty and Related Studies on Cervical Myelopathy

Hirabayashi

Kitagawa

Yamamoto

et al. 2020

Spine Surg Relat Res

View full text Add to dashboard Cite

Cervical laminoplasty (CL) is one of the surgical methods via the posterior approach for treating patients with multilevel affected cervical myelopathy (CM). The main purpose of CL is to decompress the cervical spinal cord by widening the narrowed spinal canal, combined with preserving the posterior anatomical structures to the degree possible and preserving the widened space stably. During the development and improvement of spine surgeries including CL, various studies on CM have progressed and useful achievements have been obtained: (1) posterior cervical spine fixation systems that can be used in combination with CL simultaneously have been developed; (2) various materials to stably maintain the enlarged spinal canal have been developed; (3) the main influential factors on the surgical results are the inner factors of the patients, such as the patient's age and the disease duration; (4) various surgical methods to preserve the function of the posterior cervical muscles have been tried to avoid postoperative kyphotic changes of the cervical spine; (5) postoperative complications, such as C5 palsy and axial pain, have been examined, and the countermeasures have been tried; (6) K-line on lateral X-ray films has been applied to evaluate the indication of CL in patients with CM due to ossification of the posterior longitudinal ligament (OPLL) preoperatively; and (7) the method and idea of CL have been adapted to surgeries at the thoracic and lumbar spine. However, some issues remain to be resolved, such as the deterioration of neurological findings, especially in patients with continuous or mixed-type OPLL, the postoperative kyphotic-directional alignment change of the cervical spine, C5 palsy, and axial pain.

show abstract

Preserving the C7 spinous process in laminectomy combined with lateral mass screw to prevent axial symptom

Cited by 21 publications

References 28 publications

Long-term impacts of different posterior operations on curvature, neurological recovery and axial symptoms for multilevel cervical degenerative myelopathy

Long-term impacts of different posterior operations on curvature, neurological recovery and axial symptoms for multilevel cervical degenerative myelopathy

Cervical Spondylotic Myelopathy: Pathophysiology and Surgical Approaches

Development and Achievement of Cervical Laminoplasty and Related Studies on Cervical Myelopathy

Contact Info

Product

Resources

About