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Remarkable epidural scar formation compressing the cervical cord after osteoplastic laminoplasty with hydroxyapatite spacer

The authors report on an 81-year-old woman whose condition deteriorated 2 months after undergoing osteoplastic laminoplasty with placement of hydroxyapatite spacers. Magnetic resonance imaging showed postlaminectomy scar formation compressing the cervical spinal cord. The patient underwent laminectomy and removal of remarkably thick epidural scar tissue, which resulted in resolution of her symptoms. Histological diagnosis of the scar was fibrous granulation tissue with foreign body granuloma, characterized by multinucleated giant cells and marked increases of capillary vessels, fibroblasts, and collagen fibers. This case of symptomatic postlaminectomy scar formation after osteoplastic laminoplasty suggests that osteoplastic laminoplasty cannot always prevent laminectomy membrane formation

Keywords : adverse effects,Aged,80 and over,Cementoplasty,Cicatrix,Collagen,diagnosis,Dura Mater,Durapatite,etiology,Female,Fibroblasts,Foreign Bodies,Foreign-Body Reaction,Granuloma,Humans,Japan,Laminectomy,Magnetic Resonance Imaging,pathology,Spinal Cord,Spinal Cord Compression,surgery,, Epidural,Scar,Formation,Compressing, cortisone injection private price uk

Date of Publication : 2011 Nov

Authors : Kuraishi K;Hanakita J;Takahashi T;Minami M;Mori M;Watanabe M;

Organisation : Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Fujieda, Shizuoka, Japan. kuraishikeita@yahoo.co.jp

Journal of Publication : J Neurosurg Spine

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21838513

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