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

被引:3
作者
Zhang, Li [1 ]
Sun, Yu [1 ]
Jiang, Yongchong [2 ]
Wang, Yong [3 ]
机构
[1] Peking Univ, Hosp 3, Dept Orthoped Surg, Beijing, Peoples R China
[2] First Hosp Qinhuangdao, Dept Orthoped Surg, Qinhuangdao, Peoples R China
[3] Beijing North Hosp Ordnance Ind, Dept Surg, Beijing, Peoples R China
关键词
Subaxial cervical spine fracture; Multi-segment spinal cord compression; Pedicle screw; Laminoplasty; FIXATION; INSTABILITY; MYELOPATHY;
D O I
10.5137/1019-5149.JTN.15052-15.1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:152 / 157
页数:6
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