CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY

DALGIC, Ali; Karakoyun, Durmuş Oğuz

doi:10.4274/jtss.galenos.2021.338

CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY

Oğuz KARAKOYUN, (Ordu Üniversitesi, Tıp Fakültesi, Beyin Cerrahisi Anabilim Dalı, Ordu, Türkiye)

Ali DALGIÇ (Ankara Şehir Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye)

Journal of Turkish Spinal Surgery

2 0

Yıl: 2021 Cilt: 32 Sayı: 2 Sayfa Aralığı: 50 - 57 Metin Dili: İngilizce DOI: 10.4274/jtss.galenos.2021.338 İndeks Tarihi: 13-06-2021

CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY

Öz:

Objective: The purpose of this study was to evaluate clinical and radiological findings related to the treatment of the patients with cervical spondylotic myelopathy (CSMP) in our medical center who underwent posterior cervical laminectomy and posterolateral fusion surgery with lateral mass screw fixation (LMSF).Materials and Methods: In this study, the postoperative clinical and radiological results of 30 patients who underwent posterior laminectomy and posterolateral fusion surgery by a single spinal surgeon with the diagnosis of cervical spondylosis in our medical center between 2015 and 2019 were retrospectively evaluated.Results: In total, 30 patients [23 males (76.7%) and 7 females (23.3%)] were included in the study, and the follow-up period was 6 to 44 months with an average of 21.2 months. In total, 91 laminectomies were performed on the cervical vertebrae of our patients. The mean diameter of the spinal canal in the narrowest place was 5.80 mm (9.6, 2.5) in the preoperative period, and 11.16 mm (13.6-9.4) in the postoperative period. In the postoperative period, an average of 1.35 mm (0.4-3.1) spinal cord shift was observed. The mean modified Japanese Orthopedic Association scores of all patients increased postoperatively to 15.2 (8-18) from the preoperative values of 12 (6-16). While mean preoperative Cobb angle in Group A was - 23.5º (-45º/-10º), mean postoperative Cobb angle was -9.8º (-34º/+15º). While mean preoperative Cobb angle in Group B was +13.8º (+3º/+33º), mean postoperative Cobb angle was +13.3º (+32º/-5º).Conclusion: In the treatment of patients with CSMP, adequate spinal canal decompression is created with posterior laminectomy and the LMSF technique, and these provide sufficient neurological recovery and stability. Posterolateral stabilization can preserve cervical alignment in patients with lordotic spine alignment and prevent progressive kyphosis after laminectomy; however, if anterior osteophytosis is present in patients with a preoperative loss of lordosis or kyphotic alignment, this technique may not be suitable for ideal lordotic alignment.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Karakoyun D, DALGIC A (2021). CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY. , 50 - 57. 10.4274/jtss.galenos.2021.338
Chicago	Karakoyun Durmuş Oğuz,DALGIC Ali CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY. (2021): 50 - 57. 10.4274/jtss.galenos.2021.338
MLA	Karakoyun Durmuş Oğuz,DALGIC Ali CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY. , 2021, ss.50 - 57. 10.4274/jtss.galenos.2021.338
AMA	Karakoyun D,DALGIC A CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY. . 2021; 50 - 57. 10.4274/jtss.galenos.2021.338
Vancouver	Karakoyun D,DALGIC A CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY. . 2021; 50 - 57. 10.4274/jtss.galenos.2021.338
IEEE	Karakoyun D,DALGIC A "CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY." , ss.50 - 57, 2021. 10.4274/jtss.galenos.2021.338
ISNAD	Karakoyun, Durmuş Oğuz - DALGIC, Ali. "CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY". (2021), 50-57. https://doi.org/10.4274/jtss.galenos.2021.338

APA	Karakoyun D, DALGIC A (2021). CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY. Journal of Turkish Spinal Surgery, 32(2), 50 - 57. 10.4274/jtss.galenos.2021.338
Chicago	Karakoyun Durmuş Oğuz,DALGIC Ali CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY. Journal of Turkish Spinal Surgery 32, no.2 (2021): 50 - 57. 10.4274/jtss.galenos.2021.338
MLA	Karakoyun Durmuş Oğuz,DALGIC Ali CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY. Journal of Turkish Spinal Surgery, vol.32, no.2, 2021, ss.50 - 57. 10.4274/jtss.galenos.2021.338
AMA	Karakoyun D,DALGIC A CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY. Journal of Turkish Spinal Surgery. 2021; 32(2): 50 - 57. 10.4274/jtss.galenos.2021.338
Vancouver	Karakoyun D,DALGIC A CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY. Journal of Turkish Spinal Surgery. 2021; 32(2): 50 - 57. 10.4274/jtss.galenos.2021.338
IEEE	Karakoyun D,DALGIC A "CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY." Journal of Turkish Spinal Surgery, 32, ss.50 - 57, 2021. 10.4274/jtss.galenos.2021.338
ISNAD	Karakoyun, Durmuş Oğuz - DALGIC, Ali. "CLINICAL AND RADIOLOGICAL RESULTS OF LAMINECTOMY AND POSTEROLATERAL SCREW FIXATION IN THE TREATMENT OF CERVICAL SPONDYLOTIC MYELOPATHY". Journal of Turkish Spinal Surgery 32/2 (2021), 50-57. https://doi.org/10.4274/jtss.galenos.2021.338