title: Cervical laminoplasty combined with muscle release in patients with athetoid cerebral palsy.
abstract: METHODS
  A retrospective study comparing cervical laminoplasty with or without muscle release for the treatment of cervical myelopathy resulting from athetoid cerebral palsy.
  
  
  OBJECTIVE
  To assess the effectiveness of muscle release in the treatment of athetoid cerebral palsy.
  
  
  BACKGROUND
  While anterior and/or posterior spinal fusion has been generally accepted as necessary in surgical treatment for cervical myelopathy due to athetoid cerebral palsy, several studies have shown relatively favorable results following laminoplasty. Better results can be obtained by combining muscle release. METHODS.: Study participants were 10 patients who underwent cervical laminoplasty combined with muscle release (mean age, 44.6 years) and 15 patients who underwent cervical laminoplasty alone (mean age, 48.2 years). Therapeutic outcomes 1 year after surgery, as assessed by Kurokawa's methods and JOA scores, were compared between groups.
  
  
  RESULTS
  Recovery rate 1 year after surgery was significantly higher for the muscle release group than for the control group. In both groups, recovery rates were significantly better for patients who could walk before surgery.
  
  
  CONCLUSIONS
  Cervical laminoplasty combined with muscle release for the treatment of cervical myelopathy due to athetoid cerebral palsy is effective in simplifying postoperative therapy and improving JOA scores.
authors.affiliation: Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan. yueda@naramed-u.ac.jp
authors.forename: Yurito
authors.initials: Y
authors.lastname: Ueda
authors.forename: Takafumi
authors.initials: T
authors.lastname: Yoshikawa
authors.forename: Munehisa
authors.initials: M
authors.lastname: Koizumi
authors.forename: Jin
authors.initials: J
authors.lastname: Iida
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Miyazaki
authors.forename: Shigeharu
authors.initials: S
authors.lastname: Nishiyama
authors.forename: Etsuhiro
authors.initials: E
authors.lastname: Matsuyama
authors.forename: Atsuo
authors.initials: A
authors.lastname: Kugai
authors.forename: Toshichika
authors.initials: T
authors.lastname: Takeshima
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Takakura
mesh_terms: D000328:Adult; D000368:Aged; D002547:Cerebral Palsy / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D002574:Cervical Vertebrae / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery*; D012189:Retrospective Studies; D013117:Spinal Cord Compression / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*