کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3039898 1579688 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Postoperative three-dimensional cervical range of motion and neurological outcomes in patients with cervical ossification of the posterior longitudinal ligament: Cervical laminoplasty versus laminectomy with fusion
ترجمه فارسی عنوان
محدوده حرکتی دهانه رحم سه بعدی پس از عمل و نتایج عصبی در بیماران با استخوان سازی گردن رحم رگهای خلفی طولی: لامینوپلاستی سرویکس در مقابل لامینکتومی با فیوژن
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی


• Laminoplasty preserved more ROM than laminectomy with fusion in all directions except bilateral rotations.
• Major ROM reduction was observed in extension in both groups.
• The most preserved ROM was witnessed in rotation in both groups.
• Both laminoplasty and laminectomy with fusion provided significant neurologic improvement to patients.

ObjectiveLaminoplasty (LP) and laminectomy with fusion (LCF) are acceptable surgical options for cervical myelopathy caused by ossification of the posterior longitudinal ligament (OPLL). This study focused on evaluating cervical range of motion (ROM) on a three-dimensional basis as well as neurological outcomes after LP and LCF.MethodsThis prospective cohort study consisted of 38 patients undergoing LP (n = 20) or LCF (n = 18) from December 2010 to December 2012. Before surgery and at the 3rd, 6th, 12th month follow-up, patients were assessed with three-dimensional cervical ROM, Japanese Orthopaedic Association (JOA) scores, Visual Analogue Scale (VAS) and complications.ResultsThe patients in both groups had significant ROM loss after surgery in six directions of motion. At the 12th month follow-up, the LP group preserved more ROM than LCF in all directions except bilateral rotations. Major reduction was observed in extension, as with only 59.8% and 54.3% ROM preserved in LP and LCF groups. However, the most preserved ROM was witnessed in rotation, especially in the LP group (90.8%). For JOA and VAS, both groups showed significant improvements postoperatively, and the difference between the two groups was not statistically significant.ConclusionsPatients with OPLL had an obvious reduction in active cervical ROM following LP and LCF. Major reduction was observed in extension, and less impact was detected on rotation. Compared with LCF, LP had better ROM preserved. Both LP and LCF provided patients with significant neurological improvement.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Neurology and Neurosurgery - Volume 134, July 2015, Pages 17–23
نویسندگان
, , , , , , , ,