Complications of Open-Door Laminoplasty

  • Morio Matsumoto
  • Kazuhiro Chiba
  • Yoshiaki Toyama


Open-door laminoplasty has been established as a safe and effective surgical method for decompression of the cervical spinal cord [1-3]. However, it has potential risks of several complications, some of which are specific to this method. In this chapter, the possible causes, prevention, and management of complications related to open-door laminoplasty are described.


Cervical Spine Posterior Longitudinal Ligament Intramedullary Lesion Retention Suture Cervical Compression Myelopathy 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Hirabayashi K, Toyama Y, Chiba K (1999) Expansive laminoplasty for myelopathy in ossification of the longitudinal ligament. Clin Orthop 359:35–48PubMedCrossRefGoogle Scholar
  2. 2.
    Hirabayashi K, Satomi K, Toyama Y (1998) Surgical management of OPLL: anterior versus posterior approach. Part II. In: Clark CR (ed) The cervical spine, 3rd edn. Lippincott-Raven, Philadelphia, pp 876–887Google Scholar
  3. 3.
    Itoh T, Tsuji H (1985) Technical improvement and results of laminoplasty for compressive myelopathy in the cervical spine. Spine 10:729–736PubMedCrossRefGoogle Scholar
  4. 4.
    Yonenobu K, Hosono N, Iwasaki M (1991) Neurologic complication of surgery for cervical compression myelopathy. Spine 16:1277–1282PubMedCrossRefGoogle Scholar
  5. 5.
    Bracken MB (1993) Pharmacological treatment of acute spinal cord injury: current status and future projects. J Emerg Med 11:43–48PubMedGoogle Scholar
  6. 6.
    Agrillo U, Simonetti G, Martino V (1991) Postoperative CSF problems after spinal and lumbar surgery. J Neurosurg Sci 35:93–95PubMedGoogle Scholar
  7. 7.
    Keiper G, Stambough JL (1998) Complications of cervical spine surgery. Dural tears and cerebrospinal fluid leaks. In: Clark CR (ed) The cervical spine, 3rd edn. Lippincott-Raven, Phiadelphia, pp 899–901Google Scholar
  8. 8.
    Wang JM, Roh KJ, Kim DJ (1998) A new method of stabilizing the elevated laminae in open-door laminoplasty using an anchor system. J Bone Joint Surg 80-B:1005–1008Google Scholar
  9. 9.
    Lee TT, Manzano GR, Green BA (1997) Modified open-door cervical expansive laminoplasty for spondylotic myelopathy: operative technique, outcome, and predictors for gait improvement. J Neurosurg 86:64–68PubMedCrossRefGoogle Scholar
  10. 10.
    O’Brien MF, Peterson D, Casey AT, et al. (1996) A novel technique for laminoplasty augmentation of the spinal canal area using titanium miniplate stabilization. A computerized morphometric analysis. Spine 21:474–483PubMedCrossRefGoogle Scholar
  11. 11.
    Hosono N, Yonenobu K, Ono K (1996) Neck and shoulder pain after laminoplasty. A noticeable complication. Spine 21:1969–1973PubMedCrossRefGoogle Scholar

Copyright information

© Springer Japan 2003

Authors and Affiliations

  • Morio Matsumoto
    • 1
  • Kazuhiro Chiba
    • 1
  • Yoshiaki Toyama
    • 1
  1. 1.Department of Orthopaedic SurgeryKeio University, School of MedicineShinjuku-ku, TokyoJapan

Personalised recommendations