title: Combined laminoplasty with posterior lateral mass plate for unstable spondylotic cervical canal stenosis--technical note.
abstract: A technique of combined expanding laminoplasty using longitudinal interspinous iliac bone graft with posterior lateral mass plate is described for the treatment of cervical canal stenosis associated with spinal instability. A 52-year-old male and a 76-year-old female presented with cervical myelopathy. Imaging studies demonstrated spondylotic cervical canal stenosis associated with spinal instability. Posterior stabilization with lateral mass plate by the Axis Fixation System was performed after expanding laminoplasty using interspinous iliac bone graft. The symptoms improved and instability and malalignment (in the female patient) also improved after surgery. This combined surgical technique allows decompression of the spinal cord, immediate internal fixation by plate fixation, and subsequent long-term stabilization by interspinous bony fusion. This technique is indicated in selected patients with multiple segment spondylotic cervical canal stenosis associated with instability and/or malalignment of the spinal column for which simultaneous decompression and stabilization are required.
authors: Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan. matsumur@md.tsukuba.ac.jp
authors: Akira
authors: A
authors: Matsumura
authors: Kiyoyuki
authors: K
authors: Yanaka
authors: Hiroyoshi
authors: H
authors: Akutsu
authors: Shouzou
authors: S
authors: Noguchi
authors: Takeshi
authors: T
authors: Moritake
authors: Tadao
authors: T
authors: Nose
mesh_terms: D000368:Aged; D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods*; D002574:Cervical Vertebrae / Q000601:surgery*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013115:Spinal Canal / Q000601:surgery*; D013130:Spinal Stenosis / Q000601:surgery*