Advertisement

Bilateral Open-Door Laminoplasty

  • Hiroaki Iwasaki
  • Yurito Ueda
Chapter

Abstract

Cervical laminoplasty has been widely used as an effective surgical treatment for cervical myelopathy caused by cervical spinal stenosis, ossification of the posterior longitudinal ligament (OPLL), and other conditions. Various techniques of cervical laminoplasty are available, and each has its advantages. In 1968, Kirita developed the procedure of extensive simultaneous multisegment laminectomy [1, 2] using a surgical air drill, with the aim of achieving atraumatic decompression of the spinal cord, while Hattori developed Z-shaped laminoplasty [3]in which the lamina was preserved to ensure cervical support and prevent nerve compression by postoperative scarring. Recognizing the varying advantages of these techniques and making good use of their characteristics, we developed bilateral open-door laminoplasty [4-6] as a simpler operative technique in 1977.

Keywords

Paraspinal Muscle Cervical Spondylotic Myelopathy Ligamentum Flavum Posterior Longitudinal Ligament Cervical Myelopathy 
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.
    Kirita Y (1976) Posterior decompression for cervical myelopathy due to ossified posterior longitudinal ligament (in Japanese). Clin Orthop Surg (Rinsho-seikeigeka) 19:85–93Google Scholar
  2. 2.
    Miyazaki K, Kirita Y (1986) Extensive simultaneous multisegment laminectomy for myelopathy due to the ossification of the posterior longitudinal ligament in the cervical region. Spine 11:531–542PubMedCrossRefGoogle Scholar
  3. 3.
    Kawai S, Sunago K, Doi K, et al. (1988) Cervical laminoplasty (Hattori’s method). Procedure and follow-up results. Spine 13:1245–1250PubMedCrossRefGoogle Scholar
  4. 4.
    Iwasaki H, Takamiya S, Kambara K, et al. (1980) A trial for cervical laminoplasty (in Japanese). J Jpn Orthop Assoc 54:1238–1239Google Scholar
  5. 5.
    Iwasaki H, Yokota H, Ishii M, et al. (1982) Cervical laminoplasty (in Japanese). Orthop Surg (Bessatu Seikeigeka) 2:228–233Google Scholar
  6. 6.
    Tsuyama N (1984) Ossification of the posterior longitudinal ligament of the spine. Clin Orthop 184:71–84PubMedGoogle Scholar
  7. 7.
    Snow RB, Weiner H (1993) Cervical laminectomy and foraminotomy as surgical treatment of cervical spondylosis: a follow-up study with analysis of failures. J Spinal Disord 6:245–250PubMedCrossRefGoogle Scholar
  8. 8.
    Baba H, Maezawa Y, Furusawa N, et al. (1995) Flexibility and alignment of the cervical spine after laminoplasty for spondylotic myelopathy. A radiographic study. Int Orthop 19:116–121PubMedGoogle Scholar
  9. 9.
    Okamoto A, Shinomiya K, Furuya K (1995) Reduced neck movement after operations for cervical spondylotic myelopathy. Int Orthop 19:295–297PubMedCrossRefGoogle Scholar
  10. 10.
    Kimura I, Shingu H, Nasu Y (1995) Long-term follow-up of cervical spondylotic myelopathy treated by canal-expansive laminoplasty. J Bone Joint Surg 77-B:956–961Google Scholar
  11. 11.
    Batzdorf U, Batzdorff A (1988) Analysis of cervical spine curvature in patients with cervical spondylosis. Neurosurgery 22:827–836PubMedCrossRefGoogle Scholar
  12. 12.
    Tomita K, Nomura S, Umeda S, et al. (1988) Cervical laminoplasty to enlarge the spinal canal in multilevel ossification of the posterior longitudinal ligament with myelopathy. Arch Orthop Trauma Surg 107:148–153PubMedCrossRefGoogle Scholar

Copyright information

© Springer Japan 2003

Authors and Affiliations

  • Hiroaki Iwasaki
    • 1
  • Yurito Ueda
    • 2
  1. 1.Orthopaedic SurgeryHattori Memorial HospitalNaraJapan
  2. 2.Department of Orthopaedic SurgeryNara Medical UniversityNaraJapan

Personalised recommendations