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"Cervical laminoplasty"

Case Report

Arteriovenous Fistula at the Craniocervical Junction Found After Cervical Laminoplasty for Ossification of the Posterior Longitudinal Ligament
Susumu Sasada, Masafumi Hiramatsu, Akira Kusumegi, Haruto Fujimura, Shogo Oshikata, Yuichi Takahashi, Kenki Nishida, Takao Yasuhara, Isao Date
Neurospine 2020;17(4):947-953.   Published online December 31, 2020
DOI: https://doi.org/10.14245/ns.2040200.100

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Arteriovenous Fistula at the Craniocervical Junction Found After Cervical Laminoplasty for Ossification of the Posterior Longitudinal Ligament
Neurospine. 2020;17(4):947-953.   Published online December 31, 2020
DOI: https://doi.org/10.14245/ns.2040200.100
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Arteriovenous Fistula at the Craniocervical Junction Found After Cervical Laminoplasty for Ossification of the Posterior Longitudinal Ligament
Neurospine. 2020;17(4):947-953.   Published online December 31, 2020
DOI: https://doi.org/10.14245/ns.2040200.100
Close
Ossification of the posterior longitudinal ligament (OPLL) is common in East Asia. Arteriovenous fistula at the craniocervical junction (CCJ-AVF), in contrast, is rare. As OPLL occurs most often in the cervical region, these 2 conditions can coexist in the cervical spinal canal of a single patient. We report a case of CCJ-AVF found after cervical laminoplasty (CLP) for OPLL. A 68-year-old man experienced progressive myelopathy due to cervical OPLL. Magnetic resonance imaging (MRI) revealed a high-intensity area inside the spinal cord. CLP was performed and his symptoms immediately improved. Three months after CLP, however, myelopathy recurred. MRI revealed an exacerbated and enlarged high-intensity area inside the cord from the medulla oblongata to the C4/5 level with a flow void around the cord. Left vertebral artery angiography revealed CCJ-AVF with ascending and descending draining veins. Direct surgery was performed to interrupt shunt flow into the draining veins. The patient’s symptoms improved to a limited degree. In this case, increased pressure inside the spinal canal due to OPLL might have decreased the shunt flow of the CCJ-AVF. Thus, the venous congestion induced by CCJ-AVF might have been exacerbated after the pressure was removed by CLP. Magnetic resonance angiography screening could help detect concurrent CCJ-AVF and OPLL.

Citations

Citations to this article as recorded by  Crossref logo
  • Anatomy and Nontraumatic Pathologies of the Craniocervical Junction
    Elham Tavakkol, Kamand Khalaj, Santiago Aristizabal, Jennifer McCarty, Roy Riascos
    Magnetic Resonance Imaging Clinics of North America.2025; 33(2): 217.     CrossRef
  • Microsurgical approach versus endovascular treatment of craniocervical junction arteriovenous fistulas: A Systematic Review and Meta-analysis
    Filipe Virgilio Ribeiro, Rudolfh Batista Arend, Bruno Zilli Peroni, Helvécio Neves Feitosa Filho, Maria Fernanda P. Santana, Leonardo Januario Campos Cardoso, Leandro Vieira Lessa, André Nishizima, Marcelo Porto Sousa, Alex Roman
    Neurochirurgie.2025; 71(6): 101729.     CrossRef
  • Dural arteriovenous fistula of the craniocervical junction along the first cervical nerve: A single-center experience and review of the literature
    Prasert Iampreechakul, Korrapakc Wangtanaphat, Yodkhwan Wattanasen, Sunisa Hangsapruek, Punjama Lertbutsayanukul, Somkiet Siriwimonmas
    Clinical Neurology and Neurosurgery.2023; 224: 107548.     CrossRef
  • Clinical and prognostic features of venous hypertensive myelopathy from craniocervical arteriovenous fistulas: a retrospective cohort study
    Yinqing Wang, Yongjie Ma, Zihao Song, Chengbin Yang, Tianqi Tu, Kun Yang, Chuan He, Guilin Li, Peng Hu, Liyong Sun, Ming Ye, Hongqi Zhang
    Journal of Neurosurgery.2023; : 1.     CrossRef
  • Surgical and Endovascular Treatments for Asymptomatic Arteriovenous Fistulas at the Craniocervical Junction: A Multicenter Study
    Tomoo Inoue, Toshiki Endo, Keisuke Takai, Toshitaka Seki, Keisuke Ito, Motoyuki Iwasaki, Hisaaki Uchikado, Daisuke Umebayashi, Munehiro Otsuka, Tatsuya Ohtonari, Junpei Oda, Hiroto Kageyama, Ryu Kurokawa, Izumi Koyanagi, Satoshi Koizumi, Taku Sugawara, Ya
    World Neurosurgery.2023; 175: e1049.     CrossRef
  • A Case of Craniocervical Junction Arteriovenous Fistulas with a Brainstem Mass Lesion on Imaging: Case Report and Literature Review
    Zheng Peng, Yunfeng Wang, Cong Pang, Xiaojian Li, Zong Zhuang, Wei Li, Chunhua Hang
    Brain Sciences.2023; 13(5): 839.     CrossRef
  • 7,839 View
  • 139 Download
  • 6 Web of Science
  • 6 Crossref

Original Article

Cervical Open-Door Laminoplasty by Hydroxyapatite Implant Insertion Without Suturing
Yoshifumi Kawanabe, Motoaki Fujimoto, Tsukasa Sato
Neurospine 2018;15(4):362-367.   Published online October 7, 2018
DOI: https://doi.org/10.14245/ns.1836106.053

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Cervical Open-Door Laminoplasty by Hydroxyapatite Implant Insertion Without Suturing
Neurospine. 2018;15(4):362-367.   Published online October 7, 2018
DOI: https://doi.org/10.14245/ns.1836106.053
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Cervical Open-Door Laminoplasty by Hydroxyapatite Implant Insertion Without Suturing
Neurospine. 2018;15(4):362-367.   Published online October 7, 2018
DOI: https://doi.org/10.14245/ns.1836106.053
Close
Objective
To assess the efficacy of cervical open-door laminoplasty by hydroxyapatite implant insertion between the lamina and the lateral mass without suturing.
Methods
All patients who underwent cervical open-door laminoplasty with C2/C7 undermining and insertion of hydroxyapatite implants from C3 to C6 were retrospectively evaluated for surgical time and neurological outcomes according to the Japanese Orthopaedic Association (JOA) score. To assess the alignment of the cervical spine and postoperative cervical pain, the C2–7 angle and a visual analogue scale score were used, respectively.
Results
The population consisted of 102 women and 222 men ranging in age from 32 to 90 years. The average surgical time was 86 minutes. Fourteen of 1,296 hydroxyapatite implants were kept in place with sutures due to a weak restoration force of the hinge during surgery. No hydroxyapatite implant dislocation was detected on cervical computed tomography at 1 year after surgery. The average JOA score was 10.2±2.5 before surgery and 14.6±2.8 at 1 year after surgery. The average recovery rate was 61.8%. The average C2–7 angle at the neutral position was 7.1°±6.2° before surgery and 6.5°±6.3° at 1 year after surgery.
Conclusion
This method enabled us to achieve minimal exposure of the lateral mass, prevention of lateral mass injury and dural injury, and a shorter surgical time while maintaining acceptable surgical outcomes. The idea that firm suture fixation is needed to prevent spacer deviation during cervical open-door laminoplasty may need to be revisited.

Citations

Citations to this article as recorded by  Crossref logo
  • Early postoperative changes predict long-term cervical kyphosis after laminoplasty: A retrospective radiographic study
    Noriaki Sako, Masashi Miyazaki, Tetsutaro Abe, Nobuhiro Kaku
    World Neurosurgery: X.2026; 29: 100567.     CrossRef
  • Efficacy and safety of laminoplasty combined with C3 laminectomy for patients with multilevel degenerative cervical myelopathy: a systematic review and meta-analysis
    Wenlong Yu, Fan Zhang, Yuanyuan Chen, Xiaoxue Wang, Dingbang Chen, Jianhu Zheng, Xiujie Meng, Quan Huang, Xinghai Yang, Mengchen Yin, Junming Ma
    European Spine Journal.2024; 33(10): 3915.     CrossRef
  • Brushite-coated Mg–Nd–Zn–Zr alloy promotes the osteogenesis of vertebral laminae through IGF2/PI3K/AKT signaling pathway
    Haiyuan Yang, Fan Zhang, Shiwei Sun, Hailong Li, Linli Li, Haocheng Xu, Jin Wang, Minghao Shao, Chenyan Li, Hongli Wang, Jia Pei, Jialin Niu, Guangyin Yuan, Feizhou Lyu
    Biomaterials Advances.2023; 152: 213505.     CrossRef
  • Preoperative Radiological Parameters to Predict Clinical and Radiological Outcomes after Laminoplasty
    Su Hun Lee, Dong Wuk Son, Jun Jae Shin, Yoon Ha, Geun Sung Song, Jun Seok Lee, Sang Weon Lee
    Journal of Korean Neurosurgical Society.2021; 64(5): 677.     CrossRef
  • Upper Cervical Surgery, Increased Signal Intensity of the Spinal Cord, and Hypertension as Risk Factors for Dyspnea After Multilevel Anterior Cervical Discectomy and Fusion
    Seong Bae An, Jong Joo Lee, Tae Woo Kim, Dong Ah Shin, Seong Yi, Keung Nyun Kim, Do Heum Yoon, Yoon Ha
    Spine.2020; 45(7): E379.     CrossRef
  • Degenerative cervical myelopathy: Recent updates and future directions
    Gururaj Sangondimath, Abhinandan Reddy Mallepally, Nandan Marathe, Kin-Cheung Mak, Suman Salimath
    Journal of Clinical Orthopaedics and Trauma.2020; 11(5): 822.     CrossRef
  • Progression of Cervical Ossification of Posterior Longitudinal Ligament After Laminoplasty or Laminectomy With Posterior Fixation
    Moo Sung Kang, Kyung Hyun Kim, Jeong Yoon Park, Sung Uk Kuh, Dong Kyu Chin, Keun Su Kim, Byung Ho Jin, Yong Eun Cho
    Clinical Spine Surgery: A Spine Publication.2019; 32(9): 363.     CrossRef
  • 9,922 View
  • 128 Download
  • 6 Web of Science
  • 7 Crossref

Clinical Article

Preliminary Experiences of the Combined Midline-Splitting French Door Laminoplasty with Polyether Ether Ketone (PEEK) Plate for Cervical Spondylosis and OPLL
Chang Hyun Oh, Gyu Yeul Ji, Junseok W. Hur, Won-Seok Choi, Dong Ah Shin, Jang-Bo Lee
Korean J Spine 2015;12(2):48-54.   Published online June 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.2.48

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Preliminary Experiences of the Combined Midline-Splitting French Door Laminoplasty with Polyether Ether Ketone (PEEK) Plate for Cervical Spondylosis and OPLL
Korean J Spine. 2015;12(2):48-54.   Published online June 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.2.48
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
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Preliminary Experiences of the Combined Midline-Splitting French Door Laminoplasty with Polyether Ether Ketone (PEEK) Plate for Cervical Spondylosis and OPLL
Korean J Spine. 2015;12(2):48-54.   Published online June 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.2.48
Close
Objective

The purpose of this study was to evaluate the safety and efficacy of cervical midline-splitting French-door laminoplasty with a polyether ether ketone (PEEK) plate. The authors retrospectively analyzed the results of patients with cervical laminoplasty miniplate (MAXPACER®) without bone grafts in multilevel cervical stenosis.

Methods

Fifteen patients (13 males and 2 females, mean age 50.0 years (range 35-72)) with multilevel cervical stenosis (ossification of the posterior longitudinal ligament and cervical spondylotic myelopathy) underwent a combined surgery of midline-splitting French-door laminoplasty with or without mini plate. All 15 patients were followed for at least 12 months (mean follow-up 13.3 months) after surgery, and a retrospective review of the clinical, radiological and surgical data was conducted.

Results

The radiographic results showed a significant increase over the postoperative period in anterior-posterior diameter (9.4±2.2 cm to 16.2±1.1 cm), open angles in cervical lamina (46.5±16.0° to 77.2±13.1°), and sectional volume of cervical central canal (100.5±0.7 cm2 to 146.5±4.9 cm2) (p<0.001). The sagittal alignment of the cervical spine was well preserved (31.7±10.0° to 31.2±7.6°, p=0.877) during the follow-up period. The clinical results were successful, and there were no significant intraoperative complications except for screw displacement in two cases. The mini plate constructs did not fail during the 12 month follow-up period, and the decompression was maintained.

Conclusion

Despite the small cohort and short follow-up duration, the present study demonstrated that combined cervical expansive laminoplasty using the mini plate is an effective treatment for multilevel cervical stenosis.

Citations

Citations to this article as recorded by  Crossref logo
  • Clip-plate versus suture-anchor in double-door laminoplasty for degenerative cervical myelopathy: Protocol for a multicenter, non-inferiority, randomized controlled trial
    Kentaro Yamada, Kenichiro Sakai, Takashi Hirai, Kazuyuki Fukushima, Takuya Takahashi, Yu Matsukura, Satoru Egawa, Hiroaki Onuma, Motonori Hashimoto, Akihiro Hirakawa, Yoshiyasu Arai, Toshitaka Yoshii, Koji Akeda
    PLOS One.2026; 21(4): e0339103.     CrossRef
  • 11,904 View
  • 97 Download
  • 1 Crossref
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