Advertisement

Segmental Motor Paralysis After Laminoplasty

  • Kazuhiro Chiba
  • Hirofumi Maruiwa
  • Morio Matsumoto
  • Yoshiaki Toyama
Chapter

Abstract

Since the introduction of the simultaneous decompression technique using a high-speed drill, the incidence of neurological complications after posterior decompression has dramatically decreased. However, although not frequent, complications characteristic of laminoplasty, such as axial pain and segmental motor paralysis that mainly involve the C5 segment, have evolved [1,2].

Keywords

Postoperative Magnetic Resonance Image Posterior Decompression Axial Pain Cervical Alignment Central Gray Matter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Hirabayashi K, Satomi K (1988) Operative procedure and results of expansive open-door laminoplasty. Spine 13:870–876PubMedCrossRefGoogle Scholar
  2. 2.
    Satomi K, Nishi Y, Kohno T, et al. (1994) Long-term follow-up studies of open-door expansive laminoplasty for cervical stenotic myelopathy. Spine 19:507–510PubMedCrossRefGoogle Scholar
  3. 3.
    Chiba K, Watanabe M, Maruiwa H, et al. (2000) Segmental motor paralysis after expansive open-door laminoplasty for cervical myelopathy, (in Japanese) Rinsho Seikeigeka 35:607–612Google Scholar
  4. 4.
    Ebara S, Yonenobu K, Fujiwara K, et al. (1987) Neurological complications after surgical treatment for cervical radiculopathy and myelopathy, (in Japanese) Rinsho Seikeigeka 22:802–810Google Scholar
  5. 5.
    Iwamoto Y, Fujimura Y, Nishi Y, et al. (1996) Neurological complications in early stage after expansive open-door laminoplasty. (in Japanese) Bessatsu Seikeigeka 29:200–204Google Scholar
  6. 6.
    Osawa Y, Takeuchi N, Makino N, et al. (1996) Surgical technique for preventing neurological complications in open-door laminoplasty. (in Japanese) Bessatsu Seikeigeka 29:205–209Google Scholar
  7. 7.
    Shimizu T, Shimada H, Edakuni H (1996) Post-laminoplasty palsy of upper extremities, with special reference to the spinal cord factors, (in Japanese) Bessatsu Seikeigeka 29:188–193Google Scholar
  8. 8.
    Tokuhashi Y, Matsuzaki H, Wakabayashi K (1996) Postoperative cervical radiculopathy after laminoplasty. (in Japanese) Bessatsu Seikeigeka 29:195–199Google Scholar
  9. 9.
    Tsuzuki N, Abe R, Saiki K, et al. (1996) Extradural tethering effect as one mechanism of radiculopathy complicating posterior decompression of the cervical spinal cord. Spine 21:203–211PubMedCrossRefGoogle Scholar
  10. 10.
    Uematsu Y, Tokuhashi Y, Matsuzaki H (1998) Radiculopathy after laminoplasty of the cervical spine. Spine 23:2057–2062PubMedCrossRefGoogle Scholar
  11. 11.
    Yonenobu K, Yamamoto T, Ono K (1998) Laminoplasty for myelopathy indications, results, outcome, and complications. In: CSRS Editorial Committee (eds) The cervical spine. 3rd edn. Lippincott-Raven, Philadelphia, pp 849–864Google Scholar
  12. 12.
    Hirabayashi K, Toyama Y, Chiba K (1999) Expansive laminoplasty for myelopathy in ossification of the longitudinal ligament. Clin Orthop 359:35–48PubMedCrossRefGoogle Scholar
  13. 13.
    Yonenobu K, Hosono N, Iwasaki M, et al. (1991) Neurologic complications of surgery for cervical compression myelopathy. Spine 16:1277–1282PubMedCrossRefGoogle Scholar
  14. 14.
    Tsuzuki N (1993) Topographical relation of cervical spinal cord segments to cervical vertebrae (in Japanese). Spine Spinal Cord 6:401–406Google Scholar
  15. 15.
    Kim-Lee MH, Stokes BT, Yates AJ (1992) Reperfusion paradox: a novel mode of glial cell injury. Glia 5:56–64PubMedCrossRefGoogle Scholar
  16. 16.
    Chavko M, Kalincakova K, Kluchova D, et al. (1991) Blood flow and electrolytes in spinal cord ischemia. Exp Neurol 112:299–303PubMedCrossRefGoogle Scholar
  17. 17.
    Agee JM, Flanagan T, Blackbourne LH, et al. (1991) Reducing postischemic paraplegia using conjugated superoxide dismutase. Ann Thorac Surg 51:911–914PubMedCrossRefGoogle Scholar
  18. 18.
    Wisselink W, Money SR, Crockett DE, et al. (1994) Ischemia-reperfusion injury of the spinal cord: protective effect of the hydroxyl radical scavenger dimethylthiourea. J Vase Surg 20:444–491CrossRefGoogle Scholar

Copyright information

© Springer Japan 2003

Authors and Affiliations

  • Kazuhiro Chiba
    • 1
  • Hirofumi Maruiwa
    • 1
  • Morio Matsumoto
    • 1
  • Yoshiaki Toyama
    • 1
  1. 1.Department of Orthopaedic SurgerySchool of Medicine, Keio UniversityShinjuku-ku, TokyoJapan

Personalised recommendations