From the Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, NY.
J Am Acad Orthop Surg. 2018 Apr 1;26(7):e142-e152. doi: 10.5435/JAAOS-D-16-00242.
Cervical laminoplasty was initially described for the management of cervical myelopathy resulting from multilevel stenosis secondary to ossification of the posterior longitudinal ligament. The general concepts are preservation of the dorsal elements, preservation of segmental motion, and expansion of the spinal canal via laminar manipulation. No clear evidence suggests that laminoplasty is superior to either posterior laminectomy or anterior cervical diskectomy and fusion. However, laminoplasty has its own advantages, indications, and complications. Surgeons have refined the technique to decrease complication rates and improve efficacy. Recent efforts have highlighted less invasive approaches that are muscle sparing and associated with less postoperative morbidity. Although the long-term outcomes suggest that cervical laminoplasty is safe and effective, continued research on the development of novel modifications that decrease common complications, such as C5 nerve palsy, axial neck pain, and loss of lordosis, is required.
颈椎板成形术最初是为治疗多节段狭窄引起的颈椎脊髓病而描述的，这些狭窄是由后纵韧带骨化引起的。其一般概念是通过椎板操作来保留背侧结构、保持节段运动以及扩大椎管。没有明确的证据表明板成形术优于后路椎板切除术或前路颈椎间盘切除术和融合术。然而，板成形术有其自身的优点、适应证和并发症。外科医生已经对该技术进行了改进，以降低并发症发生率并提高疗效。最近的努力强调了微创方法，这些方法可以减少肌肉损伤，并减少术后发病率。尽管长期结果表明颈椎板成形术是安全有效的，但仍需要继续研究新的改良方法，以减少常见并发症，如 C5 神经麻痹、轴性颈痛和前凸丢失。
