Mitsunaga Lance K, Klineberg Eric O, Gupta Munish C
Department of Orthopaedic Surgery, University of California Davis Medical Center, 4860 Y Street, Suite 1700, Sacramento, CA 95817, USA.
Adv Orthop. 2012;2012:307916. doi: 10.1155/2012/307916. Epub 2012 Mar 6.
Laminoplasty is one surgical option for cervical spondylotic myelopathy. It was developed to avoid the significant risk of complications associated with alternative surgical options such as anterior decompression and fusion and laminectomy with or without posterior fusion. Various laminoplasty techniques have been described. All of these variations are designed to reposition the laminae and expand the spinal canal while retaining the dorsal elements to protect the dura from scar formation and to preserve postoperative cervical stability and alignment. With the right surgical indications, reliable results can be expected with laminoplasty in treating patients with multilevel cervical myelopathy.
椎板成形术是治疗脊髓型颈椎病的一种手术选择。它的开发是为了避免与其他手术选择相关的重大并发症风险,如前路减压融合术以及伴有或不伴有后路融合的椎板切除术。已经描述了各种椎板成形术技术。所有这些变体都旨在重新定位椎板并扩大椎管,同时保留背侧结构以保护硬脊膜免受瘢痕形成,并保持术后颈椎的稳定性和对线。在正确的手术适应症下,椎板成形术治疗多节段颈椎脊髓病患者有望获得可靠的结果。