Laminar Closure After Single Open-Door Laminoplasty Using Titanium Miniplates Versus Suture Anchors

Review of Hu W, et al: Laminar Closure after single open-door laminoplasty using titanium miniplates versus suture anchors. Orthopedics 37(1):e71-78, 2014

 

This study is a review of 55 patient undergoing posterior open-door laminoplasty for the surgical treatment of cervical spondylotic myelopathy. All patients had cervical spinal stenosis with spinal cord compression. Symptoms of spinal cord compression included weakness, numbness, tingling, balance trouble, trouble with fine motor coordination of the arms and hands, among others. Patients were assessed and determined to need surgery.

Patients were all operated on using a posterior open-door laminoplasty technique. Thirty patients had surgery using a suture technique. Twenty-five had posterior laminoplasty using titanium miniplates. Patients were followed for a minimum of one year. Clinical and radiological outcomes were compared.

Patients operated on using the titanium miniplates had better neurological improvement as measured by the Japanese Orthopedic Association scores. Neck pain also improved faster with miniplates. The opening angle was also better with use of miniplates. It is concluded that use of titanium miniplates, in surgery for spondylotic myelopathy with posterior cervical laminoplasty, improves clinical results.

The study demonstrated the safely and efficacy of posterior cervical laminoplasty in patients with cervical spondylotic myelopathy. At the Texas Spine and Neurosurgery Center, your neurosurgeons are very experienced in this technique. We have always used titanium miniplates as part of the surgery. This is a more advanced technique than using sutures. Posterior cervical laminoplasty is felt to be a much less invasive surgical technique than spinal fusion surgery. Laminoplasty can allow the surgeon to avoid fusing spinal joints. Avoiding spinal fusion can improve patient outcomes and reduce the need for surgery later. Surgical complications can be reduced and patient recovery can be faster than with fusion surgery. At the Texas Spine and Neurosurgery Center, your neurosurgeons are well versed in the latest surgical techniques and research. This allows us to provide the highest quality of care to our patients.

 

By Rajesh K. Bindal, M.D.