A novel surgical technique for cervical laminoplasty in patients with multilevel cervical spondylotic myelopathy: A case report and literature review

Frontiers in Surgery

Surgery

Yipeng Yang¹  Xinyi Huang¹  Daming Liu¹  Zhensheng Ma¹  Haiyang Qiu¹ 

[1] Department of Orthopedics, Xijing Hospital, The Air Force Medical University, Xi’an, China;

关键词: cervical laminoplasty;    multilevel spondylotic myelopathy;    alternating side;    axial neck pain;    novel surgical technique;   

DOI  :  10.3389/fsurg.2023.1078138

 received in 2022-10-24, accepted in 2023-02-06,  发布年份 2023

来源: Frontiers

【 摘 要 】

Cervical laminoplasty is a posterior-based surgical decompression technique for the treatment of multilevel cervical spondylotic myelopathy (CSM) that may improve the preservation of cervical mobility, spinal canal structure, and natural lordosis. Although this procedure is considered to be comparatively safe, with fewer complications than those seen with laminectomy, several postoperative problems have been noted, including axial neck pain, C5 nerve palsy, and failed resolution of radiculopathy. Hence, various modifications have been made to improve the safety and effectiveness of this technique. Here, we report the case of a 74-year-old man with multilevel CSM who underwent posterior cervical laminoplasty in the C3–C7 segments using a novel surgical technique, termed alternating-side cervical laminoplasty. Preoperative and postoperative assessments, including visual analog scale, modified Japanese Orthopaedic Association, neck disability index scores, and imaging data, were collected and analyzed. The results of a 5-year follow-up indicated that the patient recovered well, with no development of axial neck pain. This is the first report of this modified open-door laminoplasty, which we propose may be a better surgical option for preventing postoperative axial neck pain in patients with multilevel CSM. Additionally, opening the laminae on the alternating sides during laminoplasty could provide a flexible approach to complete decompression on different radiculopathy sides.

【 授权许可】

Unknown   
© 2023 Huang, Liu, Yang, Qiu, Ma, Lei and Zhang.