Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy

Luo Jianxian; Liu Dongming; Chen Tianjun; Zhang Guowei; Yang Hua; Ji Zhisheng; Lin Hongsheng

doi:doi:10.11648/j.ijn.20200402.15

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Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy

Luo Jianxian, Liu Dongming, Chen Tianjun, Zhang Guowei, Yang Hua, Ji Zhisheng, Lin Hongsheng

Published in International Journal of Neurosurgery (Volume 4, Issue 2)

Received: 2 September 2020 Accepted: 11 September 2020 Published: 19 September 2020

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Abstract

The aim of this research is to explore the difference of imaging parameters in patients with C5 palsy after cervical expansive open-door laminoplasty. A retrospective analysis was made on the clinical data of 62 patients who were diagnosed as multiple cervical spondylotic myelopathy and operated with cervical expansive open-door laminoplasty using Centerpiece titanium miniplate fixation. According to weather C5 nerve root palsy occurred after surgery, the patients were divided into normal group (group A with 8 cases) and paralysis group (group B with 54 cases). The preoperative and postoperative cervical spine angle (C2–7) enlargement rate of spinal canal, distance of spine cord shifting and cervical curvature between two groups were measured. Compare with group A (27.38±1.99°), the average lamina open angle of group B (34.56±5.55°) was larger, which were found statistically significant difference (P<0.05). In addition, there were no significant differences between two groups in C3 or C7 lamina open angle. However, significant differences were found between two groups in C4, C5 and C6 lamina open angle. The average enlargement rate of spinal canal and distance of spine cord shifting of group B were larger than group A, which was statistically differences (P<0.05). The opening angle of the lamina, the expansion rate of the spinal canal, and the distance of the spinal cord may prevent the occurrence of cervical 5 nerve root palsy in cervical expansive open-door laminoplasty.

Published in	International Journal of Neurosurgery (Volume 4, Issue 2)
DOI	10.11648/j.ijn.20200402.15
Page(s)	46-49
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Cervical Open-Door Laminoplasty; Multiple Cervical Spondylotic Myelopathy; C5 Nerve Root Palsy

References

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[2]	Fan XW, Wang ZW, Gao XD, Ding WY, Yang DL: The change of cervical sagittal parameters plays an important role in clinical outcomes of cervical spondylotic myelopathy after multi-level anterior cervical discectomy and fusion. J Orthop Surg Res 2019, 14 (1): 429.
[3]	Abiola R, Rubery P, Mesfin A: Ossification of the Posterior Longitudinal Ligament: Etiology, Diagnosis, and Outcomes of Nonoperative and Operative Management. Global Spine J 2016, 6 (2): 195-204.
[4]	Hirabayashi K, Satomi K: Operative procedure and results of expansive open-door laminoplasty. Spine (Phila Pa 1976) 1988, 13 (7): 870-876.
[5]	Li N, Tian W, Yuan Q, He D: Cervical Spondylotic Myelopathy due to the Ochronotic Arthropathy of the Cervical Spine. J Korean Neurosurg S 2016, 59 (1): 65-68.
[6]	Shang ZK, Zhang YZ, Zhang D, Ding WY, Shen Y: Clinical and Radiological Analysis of Bryan Cervical Artificial Disc Replacement for "Skip" Multi-Segment Cervical Spondylosis: Long-Term Follow-Up Results. Med Sci Monitor 2017, 23: 5254-5263.
[7]	Lim CH, Roh SW, Rhim SC, Jeon SR: Clinical analysis of C5 palsy after cervical decompression surgery: relationship between recovery duration and clinical and radiological factors. Eur Spine J 2017, 26 (4): 1101-1110.
[8]	Xu XN, Liu HY: [Clinical analysis of cervical posterior internal fixation titanium plate and silk suspension internal fixation cervical spondylosis]. Zhonghua Wai Ke Za Zhi 2017, 55 (3): 214-219.
[9]	Lee JY, Sharan A, Baron EM, Lim MR, Grossman E, Albert TJ, Vaccaro AR, Hilibrand AS: Quantitative prediction of spinal cord drift after cervical laminectomy and arthrodesis. Spine (Phila Pa 1976) 2006, 31 (16): 1795-1798.
[10]	Wu W, Yang Z, Zhang T, Ru N, Zhang F, Wu B, Liang J: Microstructural Changes in Compressed Cervical Spinal Cord Are Consistent With Clinical Symptoms and Symptom Duration. Spine (Phila Pa 1976) 2020, 45 (16): E999-E1005.
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[14]	Fan D, Schwartz DM, Vaccaro AR, Hilibrand AS, Albert TJ: Intraoperative neurophysiologic detection of iatrogenic C5 nerve root injury during laminectomy for cervical compression myelopathy. Spine (Phila Pa 1976) 2002, 27 (22): 2499-2502.
[15]	Steinmetz MP, Resnick DK: Cervical laminoplasty. Spine J 2006, 6 (6 Suppl): 274S-281S.

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APA Style

Luo Jianxian, Liu Dongming, Chen Tianjun, Zhang Guowei, Yang Hua, et al. (2020). Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy. International Journal of Neurosurgery, 4(2), 46-49. https://doi.org/10.11648/j.ijn.20200402.15

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ACS Style

Luo Jianxian; Liu Dongming; Chen Tianjun; Zhang Guowei; Yang Hua, et al. Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy. Int. J. Neurosurg. 2020, 4(2), 46-49. doi: 10.11648/j.ijn.20200402.15

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AMA Style

Luo Jianxian, Liu Dongming, Chen Tianjun, Zhang Guowei, Yang Hua, et al. Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy. Int J Neurosurg. 2020;4(2):46-49. doi: 10.11648/j.ijn.20200402.15

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@article{10.11648/j.ijn.20200402.15,
  author = {Luo Jianxian and Liu Dongming and Chen Tianjun and Zhang Guowei and Yang Hua and Ji Zhisheng and Lin Hongsheng},
  title = {Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy},
  journal = {International Journal of Neurosurgery},
  volume = {4},
  number = {2},
  pages = {46-49},
  doi = {10.11648/j.ijn.20200402.15},
  url = {https://doi.org/10.11648/j.ijn.20200402.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20200402.15},
  abstract = {The aim of this research is to explore the difference of imaging parameters in patients with C5 palsy after cervical expansive open-door laminoplasty. A retrospective analysis was made on the clinical data of 62 patients who were diagnosed as multiple cervical spondylotic myelopathy and operated with cervical expansive open-door laminoplasty using Centerpiece titanium miniplate fixation. According to weather C5 nerve root palsy occurred after surgery, the patients were divided into normal group (group A with 8 cases) and paralysis group (group B with 54 cases). The preoperative and postoperative cervical spine angle (C2–7) enlargement rate of spinal canal, distance of spine cord shifting and cervical curvature between two groups were measured. Compare with group A (27.38±1.99°), the average lamina open angle of group B (34.56±5.55°) was larger, which were found statistically significant difference (PP<0.05). The opening angle of the lamina, the expansion rate of the spinal canal, and the distance of the spinal cord may prevent the occurrence of cervical 5 nerve root palsy in cervical expansive open-door laminoplasty.},
 year = {2020}
}

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TY  - JOUR
T1  - Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy
AU  - Luo Jianxian
AU  - Liu Dongming
AU  - Chen Tianjun
AU  - Zhang Guowei
AU  - Yang Hua
AU  - Ji Zhisheng
AU  - Lin Hongsheng
Y1  - 2020/09/19
PY  - 2020
N1  - https://doi.org/10.11648/j.ijn.20200402.15
DO  - 10.11648/j.ijn.20200402.15
T2  - International Journal of Neurosurgery
JF  - International Journal of Neurosurgery
JO  - International Journal of Neurosurgery
SP  - 46
EP  - 49
PB  - Science Publishing Group
SN  - 2640-1959
UR  - https://doi.org/10.11648/j.ijn.20200402.15
AB  - The aim of this research is to explore the difference of imaging parameters in patients with C5 palsy after cervical expansive open-door laminoplasty. A retrospective analysis was made on the clinical data of 62 patients who were diagnosed as multiple cervical spondylotic myelopathy and operated with cervical expansive open-door laminoplasty using Centerpiece titanium miniplate fixation. According to weather C5 nerve root palsy occurred after surgery, the patients were divided into normal group (group A with 8 cases) and paralysis group (group B with 54 cases). The preoperative and postoperative cervical spine angle (C2–7) enlargement rate of spinal canal, distance of spine cord shifting and cervical curvature between two groups were measured. Compare with group A (27.38±1.99°), the average lamina open angle of group B (34.56±5.55°) was larger, which were found statistically significant difference (PP<0.05). The opening angle of the lamina, the expansion rate of the spinal canal, and the distance of the spinal cord may prevent the occurrence of cervical 5 nerve root palsy in cervical expansive open-door laminoplasty.
VL  - 4
IS  - 2
ER  -

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Author Information

Luo Jianxian

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Liu Dongming

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Chen Tianjun

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Zhang Guowei

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Yang Hua

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Ji Zhisheng

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Lin Hongsheng

Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

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Plain Text BibTeX RIS

APA Style

Luo Jianxian, Liu Dongming, Chen Tianjun, Zhang Guowei, Yang Hua, et al. (2020). Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy. International Journal of Neurosurgery, 4(2), 46-49. https://doi.org/10.11648/j.ijn.20200402.15

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ACS Style

Luo Jianxian; Liu Dongming; Chen Tianjun; Zhang Guowei; Yang Hua, et al. Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy. Int. J. Neurosurg. 2020, 4(2), 46-49. doi: 10.11648/j.ijn.20200402.15

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AMA Style

Luo Jianxian, Liu Dongming, Chen Tianjun, Zhang Guowei, Yang Hua, et al. Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy. Int J Neurosurg. 2020;4(2):46-49. doi: 10.11648/j.ijn.20200402.15

Copy | Download

@article{10.11648/j.ijn.20200402.15,
  author = {Luo Jianxian and Liu Dongming and Chen Tianjun and Zhang Guowei and Yang Hua and Ji Zhisheng and Lin Hongsheng},
  title = {Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy},
  journal = {International Journal of Neurosurgery},
  volume = {4},
  number = {2},
  pages = {46-49},
  doi = {10.11648/j.ijn.20200402.15},
  url = {https://doi.org/10.11648/j.ijn.20200402.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20200402.15},
  abstract = {The aim of this research is to explore the difference of imaging parameters in patients with C5 palsy after cervical expansive open-door laminoplasty. A retrospective analysis was made on the clinical data of 62 patients who were diagnosed as multiple cervical spondylotic myelopathy and operated with cervical expansive open-door laminoplasty using Centerpiece titanium miniplate fixation. According to weather C5 nerve root palsy occurred after surgery, the patients were divided into normal group (group A with 8 cases) and paralysis group (group B with 54 cases). The preoperative and postoperative cervical spine angle (C2–7) enlargement rate of spinal canal, distance of spine cord shifting and cervical curvature between two groups were measured. Compare with group A (27.38±1.99°), the average lamina open angle of group B (34.56±5.55°) was larger, which were found statistically significant difference (PP<0.05). The opening angle of the lamina, the expansion rate of the spinal canal, and the distance of the spinal cord may prevent the occurrence of cervical 5 nerve root palsy in cervical expansive open-door laminoplasty.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Radiological Imaging Analysis of Cervical Expansive Open-door Laminoplasty Causing C5 Palsy
AU  - Luo Jianxian
AU  - Liu Dongming
AU  - Chen Tianjun
AU  - Zhang Guowei
AU  - Yang Hua
AU  - Ji Zhisheng
AU  - Lin Hongsheng
Y1  - 2020/09/19
PY  - 2020
N1  - https://doi.org/10.11648/j.ijn.20200402.15
DO  - 10.11648/j.ijn.20200402.15
T2  - International Journal of Neurosurgery
JF  - International Journal of Neurosurgery
JO  - International Journal of Neurosurgery
SP  - 46
EP  - 49
PB  - Science Publishing Group
SN  - 2640-1959
UR  - https://doi.org/10.11648/j.ijn.20200402.15
AB  - The aim of this research is to explore the difference of imaging parameters in patients with C5 palsy after cervical expansive open-door laminoplasty. A retrospective analysis was made on the clinical data of 62 patients who were diagnosed as multiple cervical spondylotic myelopathy and operated with cervical expansive open-door laminoplasty using Centerpiece titanium miniplate fixation. According to weather C5 nerve root palsy occurred after surgery, the patients were divided into normal group (group A with 8 cases) and paralysis group (group B with 54 cases). The preoperative and postoperative cervical spine angle (C2–7) enlargement rate of spinal canal, distance of spine cord shifting and cervical curvature between two groups were measured. Compare with group A (27.38±1.99°), the average lamina open angle of group B (34.56±5.55°) was larger, which were found statistically significant difference (PP<0.05). The opening angle of the lamina, the expansion rate of the spinal canal, and the distance of the spinal cord may prevent the occurrence of cervical 5 nerve root palsy in cervical expansive open-door laminoplasty.
VL  - 4
IS  - 2
ER  -

Copy | Download