Yıl: 2009 Cilt: 19 Sayı: 2 Sayfa Aralığı: 121 - 126 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy

Öz:
Servikal laminoplasti etkili bir dekompresyon yöntemidir. Servikal laminaların açılma şekline göre open door ve French door olmak üzere iki ana teknik ile yapılmaktadır. Bu çalışmada, 1997-2008 yıllarında bu teknikler kullanılarak ameliyat edilen spinal kord kompresyonu basısı olan hastaların sonuçları sunulmuştur. Çalışma sonucunda uygun vakalarda etkin dekompresyon sağlandığını, Nurick klasifikasyonuna göre hastalarda belirgin iyileşme sağlandığı, iki hastada geçici C5 kök lezyonu tespit edildiği ve başka bir komplikasyonun olmadığı tespit edilmiştir. Spinal kord basısı bulgularında kötüleşme hiç saptanmamıştır. Sonuç olarak laminoplasti indikasyonu olan olgularda etkin bir dekompresyon yöntemidir.
Anahtar Kelime:

Konular: Cerrahi

Servikal spondilotik miyelopati nedeniyle servikal laminoplasti yapılan 19 olguda klinik sonuçlarımız

Öz:
OBJECTIVE: Cervical laminoplasty is an effective procedure. We describe the technique of open-door and french-door cervical laminoplasty and present our clinical results.METHODS: All patients undergoing laminoplasty at our clinic during the 1997- 2008 period were included in the study. All patients had myeloradiculopathy. Neurological functions and recovery in myelopathy in patients were evaluated using the Nurick score. Pre- and postoperative kyphotic evaluation was measured using the sagittal tangent method. Peri- and postoperative complications were recorded.RESULTS: Clinical evaluation showed that all patients had reduced postoperative complaints compared to their complaints before the procedure. Average time of surgery was 180 min. Average blood loss in surgeries was 300 cc. According to the Nurick classification, no improvement was observed in seven patients; nine patients showed improvement of one grade; and three patients showed an improvement of two grades. Temporary C5 nerve root paralysis was observed in two patients as a postoperative complication. Complete recovery was observed in both patients within 2 months.CONCLUSIONS: Laminoplasty is a safe and effective alternative procedure to treat cervical spondylotic myelopathy.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KANER T, SASANİ M, ÖKTENOĞLU T, ÇZER A (2009). Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy. , 121 - 126.
Chicago KANER Tuncay,SASANİ Mehdi,ÖKTENOĞLU Tunç,ÇZER Ali Fahir Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy. (2009): 121 - 126.
MLA KANER Tuncay,SASANİ Mehdi,ÖKTENOĞLU Tunç,ÇZER Ali Fahir Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy. , 2009, ss.121 - 126.
AMA KANER T,SASANİ M,ÖKTENOĞLU T,ÇZER A Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy. . 2009; 121 - 126.
Vancouver KANER T,SASANİ M,ÖKTENOĞLU T,ÇZER A Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy. . 2009; 121 - 126.
IEEE KANER T,SASANİ M,ÖKTENOĞLU T,ÇZER A "Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy." , ss.121 - 126, 2009.
ISNAD KANER, Tuncay vd. "Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy". (2009), 121-126.
APA KANER T, SASANİ M, ÖKTENOĞLU T, ÇZER A (2009). Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy. Turkish Neurosurgery, 19(2), 121 - 126.
Chicago KANER Tuncay,SASANİ Mehdi,ÖKTENOĞLU Tunç,ÇZER Ali Fahir Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy. Turkish Neurosurgery 19, no.2 (2009): 121 - 126.
MLA KANER Tuncay,SASANİ Mehdi,ÖKTENOĞLU Tunç,ÇZER Ali Fahir Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy. Turkish Neurosurgery, vol.19, no.2, 2009, ss.121 - 126.
AMA KANER T,SASANİ M,ÖKTENOĞLU T,ÇZER A Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy. Turkish Neurosurgery. 2009; 19(2): 121 - 126.
Vancouver KANER T,SASANİ M,ÖKTENOĞLU T,ÇZER A Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy. Turkish Neurosurgery. 2009; 19(2): 121 - 126.
IEEE KANER T,SASANİ M,ÖKTENOĞLU T,ÇZER A "Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy." Turkish Neurosurgery, 19, ss.121 - 126, 2009.
ISNAD KANER, Tuncay vd. "Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy". Turkish Neurosurgery 19/2 (2009), 121-126.