19 Harley St, London, W1G 9QJ, UK

[Open-door laminoplasty for the treatment of failed anterior cervical spine surgery]

OBJECTIVE: To evaluate the outcome of open-door laminoplasty for the treatment of failed anterior cervical spine surgery. METHODS: From February 2003 to June 2009, 15 patients underwent open-door laminoplasty for the failed anterior cervical spine surgery. The causes of revision and the progression of disease were analyzed. Japanese Orthopedic Association (JOA) scores and Nurick grade were adopted to record the improvement of neurological status and walking ability. RESULTS: Two patients were excluded for analysis because of lost follow-up and follow-up less than 12 months. The mean follow-up period after revision surgery for the other 13 patients was 26 months (ranged 13-52 months). The mean interval between the initial and revision surgery was 24 months (ranged 5 months to 6 years). The causes of revision were as following: degeneration of the adjacent segment in 2 cases, inadequate decompression in 5 cases, mis-diagnosis of ossification of posterior longitudinal ligament (OPLL) as myelopathy in 4 cases, and progression of OPLL in 2 cases. Posterior laminoplasty was recommended for each patient. After the operation, 13 patients improved neurologically with respect to JOA score, 12 patients improved their walking ability while 1 remained unchanged. The mean modified JOA scores improved from 10.5 to 13.8 (P<0.05), the average recovery rate was 53.0% after the revision operation. The mean overall Nurick grade was 3.1 preoperatively and 1.9 at the final follow-up (P<0.05), the mean improvement of the Nurick grade was 1.2. Complications included cerebrospinal fluid leakage in 1 case, new axial neck pain in 1 case, and transient C5 nerve root palsy in 1 case. CONCLUSIONS: Open-door laminoplasty is a straightforward and effective treatment for failed anterior cervical spine surgery due to inadequate decompression, progressive OPLL or degeneration of the adjacent segment. The merit of the open-door laminoplasty for failed anterior spine fusion is able to avoid high risk from initial anterior cervical spine surgery Keywords : Aged,analysis,cerebrospinal fluid,Cervical Vertebrae,China,complications,Decompression,Decompression,Surgical,Female,Follow-Up Studies,Humans,Laminectomy,Male,methods,Middle Aged,Neck,Neck Pain,Ossification of Posterior Longitudinal Ligament,Pain,Patients,Reoperation,Risk,Spinal Fusion,Spine,Spondylosis,surgery,Treatment Outcome,Universities,Walking,, Laminoplasty,Treatment, tmj botox how many units

Date of Publication : 2010 Dec 15

Authors : Liu Y;Chen L;Gu Y;Yang HL;Tang TS;

Organisation : Department of Orthopaedic Surgery, the First Affiliated Hospital of Soochow University, Suzhou 215006, China

Journal of Publication : Zhonghua Wai Ke Za Zhi

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21211268

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Open-door laminoplasty for the treatment of failed anterior cervical spine surgery | Knee pain injections

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810