Dorsal shift and expansion of the spinal cord after expansive open-door laminoplasty.
We investigated dorsal shift and anteroposterior spinal cord diameter after expansive open-door laminoplasty, comparing pre- and postoperative computed tomographic myelographic images to clarify the relationships between surgical outcome and these changes. Dorsal shift occurred at the midcervical spine in cervical spondylotic myelopathy (CSM) but was less extensive in ossification of the posterior longitudinal ligament (OPLL). Spinal cord anteroposterior diameter expanded for OPLL but did not for CSM. Correlation of outcome and dorsal shift was not significant for OPLL or CSM. Correlation of outcome and expansion was significant for OPLL, but not for CSM.
Fujimura
Y
Y
Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan.
Nishi
Y
Y
Nakamura
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009192:Myelography; D017887:Ossification of Posterior Longitudinal Ligament / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D011184:Postoperative Period; D012720:Severity of Illness Index; D013116:Spinal Cord / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D013118:Spinal Cord Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D013128:Spinal Osteophytosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome