Posterior Cervical Pedicle Screw-Rod/Plate Instrumentation Combined with Unilateral Open-Door Laminoplasty for the Treatment of Acute Cervical Spinal Cord Compression Injury: Report of Five Cases.
All patients were acute, multi-segment cervical spinal cord compression injury secondary to subaxial cervical spine fracture. These patients underwent emergency posterior cervical pedicle screw-rod/plate instrumentation combined with unilateral open-door laminoplasty. Well-placed pedicle screws and good cervical canal dilation were achieved in all patients, as assessed by radiography. Patients were followed up for 6-10 months and showed at least one class improvement in spinal impairment. These cases suggest that simple posterior cervical pedicle screw-rod/plate instrumentation combined with extensive unilateral open-door laminoplasty could repair acute, multi-segment cervical spinal cord compression injury secondary to subaxial cervical spine fracture if the cervical spine sequence is well preserved and does not require restoration.
Peking University Third Hospital, Department of Orthopedic Surgery, Beijing, China.
Li
L
Zhang
Yu
Y
Sun
Yongchong
Y
Jiang
Yong
Y
Wang
D000328:Adult; D001860:Bone Plates; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D065406:Laminoplasty / Q000379:methods*; D008297:Male; D008875:Middle Aged; D065289:Pedicle Screws; D011183:Postoperative Complications / Q000601:surgery; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome