Priliminary outcomes of ARCH plate in cervical expansive open-door laminoplasty for OPLL

VernacularTitle:ARCH钢板在颈椎后路椎管成形术中的应用治疗颈椎后纵韧带骨化症近期疗效观察
Author: Yang YU ; Haiquan FAN ; Ming CHEN ; Hongjie HUANG
Publication Type:Journal Article
Keywords: cervical spine; ossification; posterior longitudinal ligament; ARCH plate; cerical expansive open-door laminoplasty
From: Chongqing Medicine 2013;(22):2616-2618
CountryChina
Language:Chinese
Abstract: Objective To evaluate the short-term results of ARCH plate in cerical expansive open-door laminoplasty(ELAP)for OPLL.Methods From June 2010 to September 2011,a total of 12 cases with OPLL underwent open-door ELAP by ARCH plate fixation and were followed up in our hospital.8 cases were males and 4 cases were female.The average age was 60.5 years.The neurological effect was evaluated by use Japanese Orthopedic Association(JOA)scoring criteria for cervical myelopathy.The ana-tomical effect was analyzed by compare roentgenogram and CT before and after surgery.Results The JOA scores were improved for 39% after the operation,while the saggital diameters of the cervical spinal canaldural after operation was enlarged for 82%(P<0.05).X-ray films and CT scan after operation that there was no occurrence of re-close of door,there was no occurrence of anchor loosing.Conclusion For OPLL,ELAP using ARCH plate fixation bring less occurrence of re-close of door,slight postoperative neck AS,and satisfactory clinical outcomes.