J Korean Orthop Assoc.
2005 Oct;40(6):667-672.
The Laminoplasty for Acute Cervical Spinal Cord Injury in Cervical Spondylosis
- Affiliations
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- 1Department of Orthopaedic Surgery, College of Medicine, Gyeong-Sang National University, Jinju, Korea. ssurgeon@nongae.gsnu.ac.kr
Abstract
- PURPOSE
To evaluate the results in patients with a spinal cord injury in pre-existing cervical spondylosis. MATERIALS AND METHODS: This study was conducted in 9 patients with cervical spondylosis with spinal cord injury to evaluate the role of the laminoplasty (modified Itoh s method). The preoperative and final follow-up radiographic and clinical results based on the Pavlov ratio & motor function score were compared. RESULTS: The preoperative motor function score 58.67 (26-92) increased to 90.11 (66-100) of the final score. The recovery rate was 78.78 (58-100%). The initial Pavlov ratio increased from 0.58 to 0.93 at the immediate post-operation and the final ratio was 0.93. Four patients who complained of causalgia were improved immediately after surgery. CONCLUSION: The laminoplasty is a good method for improving the neurological deficits and maintaining the extent of spinal canal widening.