Operative Orthopadie und Traumatologie · 2010
[Laminoplasty].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Grochulla Frank, Mehren Christoph, Siepe Christoph, Korge Andreas, Mayer H Michael
Аннотация
OBJECTIVE: The aims of laminoplasty are to expand the spinal canal, to secure spinal stability, and to preserve the protective function of the spine. Preservation of mobility is also a goal of this procedure for multiple-level involvement.
INDICATIONS: Multisegmental spondylotic myelopathy with a relatively narrow spinal canal (anteroposterior spinal canal diameter<13 mm).
CONTRAINDICATIONS: Spinal instability. Kyphotic cervical spine.
SURGICAL TECHNIQUE: Prone positioning of the patient. Three-point pin fixation device such as Mayfield tongs to secure the head. Midline posterior approach to the spine. Exposure of the laminae and the spinous processes. Opening and expanding of the spinal canal, decompression of the spinal cord. Fixation of the laminae with bone and/or implants.
POSTOPERATIVE MANAGEMENT: Cervical collar for 3-4 weeks.
RESULTS: Long-term investigations have shown neurological improvement in 57%, a decrease of range of motion in 36%, and a slight reduction of lordosis without clinical relevance.
INDICATIONS: Multisegmental spondylotic myelopathy with a relatively narrow spinal canal (anteroposterior spinal canal diameter<13 mm).
CONTRAINDICATIONS: Spinal instability. Kyphotic cervical spine.
SURGICAL TECHNIQUE: Prone positioning of the patient. Three-point pin fixation device such as Mayfield tongs to secure the head. Midline posterior approach to the spine. Exposure of the laminae and the spinous processes. Opening and expanding of the spinal canal, decompression of the spinal cord. Fixation of the laminae with bone and/or implants.
POSTOPERATIVE MANAGEMENT: Cervical collar for 3-4 weeks.
RESULTS: Long-term investigations have shown neurological improvement in 57%, a decrease of range of motion in 36%, and a slight reduction of lordosis without clinical relevance.