Extensive cervical laminoplasty for patients with long segment OPLL in the cervical spine: an alternative to the anterior approach

A young man presented with quadriparesis due to severe kyphosis of the cervical spine. In the first posterior operation, the spinal cord was decompressed by laminectomies and posterior partial corpectomy through bilateral translateral mass and transforaminal approach followed by posterior stabilization and fusion. In the second operation, the cervical spine was stabilized and fused through an anterior approach. The patient recovered completely from his neurological deficit with very minimal neck movements. We report this case to describe the bilateral translateral mass and transforaminal partial posterior cervical corpectomy for spinal cord decompression followed by posterior and anterior stabilization and fusion.

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Anterior Approach for Removal of a Cervical Intradural Tumor

Neurosurgery ◽

10.1227/00006123-197803000-00009 ◽

1978 ◽

Vol 2 (2) ◽

pp. 128-130 ◽

Cited By ~ 9

Author(s):

J.-Cartier Giroux ◽

Chaouky Nohra

Keyword(s):

Cervical Spine ◽

Bone Grafting ◽

Anterior Approach ◽

Complete Recovery ◽

Complete Excision ◽

Intradural Tumor ◽

Intradural Extramedullary

Abstract A case of an intradural extramedullary meningioma of the cervical spine excised through an anterior approach is reported. This permitted a complete excision without manipulation of the cord followed by a rapid and complete recovery. The technique of excision and bone grafting is described.

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Clinical feasibility of minimally invasive cervical laminoplasty

Neurosurgical FOCUS ◽

10.3171/foc/2008/25/8/e3 ◽

2008 ◽

Vol 25 (2) ◽

pp. E3 ◽

Cited By ~ 14

Author(s):

David M. Benglis ◽

James D. Guest ◽

Michael Y. Wang

Keyword(s):

Cervical Spine ◽

Minimally Invasive ◽

Foraminal Stenosis ◽

Cervical Laminoplasty ◽

Tissue Destruction ◽

History Of ◽

Hospital Stays ◽

Multiple Levels ◽

Axial Neck Pain ◽

Lateral Disc Herniation

Minimally invasive approaches to the cervical spine for lateral disc herniation or foraminal stenosis have recently been described. Lower rates of blood loss, decreased narcotic dependence, and less tissue destruction as well as shorter hospital stays are all advantages of utilizing these techniques. These observations can also be realized with a minimal access approach to cervical laminoplasty. Multiple levels of the cervical spine can be treated from a posterior approach with the potential to decrease the incidences of postoperative axial neck pain and kyphotic deformity. In this report the authors present a concise history of the open laminoplasty technique, provide data from previous cadaveric studies (6 cases) along with recent clinical experience for minimally invasive laminoplasty, and describe the advantages and challenges of this novel procedure.

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Anterior decompression for ossification of the posterior longitudinal ligament of the cervical spine

Journal of Neurosurgery ◽

10.3171/jns.1981.55.1.0108 ◽

1981 ◽

Vol 55 (1) ◽

pp. 108-116 ◽

Cited By ~ 84

Author(s):

Hiroshi Abe ◽

Mitsuo Tsuru ◽

Terufumi Ito ◽

Yoshinobu Iwasaki ◽

Mitsuyuki Koiwa

Keyword(s):

Cervical Spine ◽

Marked Improvement ◽

Anterior Approach ◽

Posterior Longitudinal Ligament ◽

Long Bone ◽

Anterior Decompression ◽

Content Type ◽

Operative Results ◽

Vertebral Bodies ◽

Anterior Decompression And Fusion

✓ Anterior decompression and fusion for treating ossification of the posterior longitudinal ligament of the cervical spine was performed in 12 patients. The central part of the vertebral body and the ossified area of the posterior longitudinal ligament were removed by means of a microrongeur and an air drill. The defect was filled with a long bone graft taken from the ilium. The operative results were excellent. Marked improvement of radicular and spinal cord signs was seen in all 12 cases. Three vertebral bodies were fused in one case, four in nine cases, and five in two cases. The highest level of fusion was C-2 and the lowest was T-1. It is considered that any ossification of the ligament below the C-2 level can be removed via an anterior approach as long as no more than five vertebral bodies are involved. Spinal computerized tomography was valuable in providing more detailed information about the stenotic spinal canal and the shape of the ossified ligament.

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