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CASE REPORT
Year : 2016  |  Volume : 3  |  Issue : 1  |  Page : 18-21

Cervical spondylotic myelopathy release by unilateral open-door laminoplasty with miniplate alone: Three years follow-up


1 Lecturer, Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran–Dr Hasan Sadikin General Hospital, Bandung, Indonesia
2 Researcher, National Institute of Health Research and Development Ministry of Health, Jakarta, Indonesia
3 Lecturer, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Padjadjaran–Dr Hasan Sadikin General Hospital, Bandung, Indonesia

Correspondence Address:
Farid Yudoyono
Lecturer, Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran–Dr Hasan Sadikin General Hospital, Bandung
Indonesia
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1079

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Objective: Cervical spondylotic myelopathy (CSM) is a common degenerative spine disease that requires surgical intervention if conservative failed. Currently, there is interest in various technical of laminoplasty. To review outcome of patients who underwent single-door cervical laminoplasty using titanium miniplates alone. Materials and methods: The author performed surgery in patients with CSM by unilateral open-door laminoplasty, which allows through decompression of the cervical spinal canal. Pain was measured with a visual analog scale (VAS). Surgical outcome was analyzed with the modified Japanese Orthopaedic Association (mJOA) score. Results: Visual analog scale scores and mJOA were significantly improved at 1, 2 and 3 years follow-up compared to preoperative levels. Recovery rate mJOA score 27,7%, excellent pain relief (100% of initial VAS score). Conclusion: Open-door laminoplasty is easily applied for young spine surgeon, allows good field visualization and decompression, single-door cervical laminoplasty using miniplates alone is a safe technique and achieves a high hinge union rate, good canal decompresion and neurological recovery.


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