Accuracy of the Trough Position in Expansive Open-door Cervical Laminoplasty Using Computer Navigation Techniques: a Single-centre Retrospective Study

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2022 Sep 27

PMID 36163512

Authors

Jianping Tian

Yuan Lin

Wu Zheng

Yuhua Xiao

Jie Xu

Affiliations

Soon will be listed here.

Abstract

Purpose: This study aims to assess whether computer navigation can improve the accuracy of the trough position and clinical outcomes of expansive open-door cervical laminoplasty (EOLP).

Methods: We reviewed a single centre of 28 conventional EOLP and 24 computer navigation EOLP cases. The conventional group had 102 laminae while the navigation group had 88. The distance from the medial cortex to the pedicle on the open-door side (OD) and hinge side (HD) was measured. Furthermore, the area of the spinal canal corresponding to each lamina before and after the surgical procedure was also measured. We then compared the differences in radiographic parameters and clinical outcomes between the two groups.

Results: OD and HD were smaller in the navigation group compared to the conventional group, and the enlarged area of the spinal canal was larger in the navigation group than in the conventional group. The Japanese Orthopaedic Association (JOA) scores one year after the surgical procedure improved in both groups compared to the pre-operative period, and the JOA recovery rate was higher in the navigation group. The incidence of hinge fracture was lower in the navigation group, and the incidence of C5 palsy and axial pain was not statistically different between the two groups.

Conclusion: The use of computer navigation techniques has the potential to significantly improve the accuracy of EOLP compared to conventional procedures. It has been shown to more fully expand the spinal canal and contribute to clinical efficacy.

References

Ogawa Y, Chiba K, Matsumoto M, Nakamura M, Takaishi H, Hirabayashi H . Long-term results after expansive open-door laminoplasty for the segmental-type of ossification of the posterior longitudinal ligament of the cervical spine: a comparison with nonsegmental-type lesions. J Neurosurg Spine. 2005; 3(3):198-204. DOI: 10.3171/spi.2005.3.3.0198. View

Wang L, Wang L, Song Y, Yang X, Liu L, Li T . Clinical and radiographic outcome of unilateral open-door laminoplasty with alternative levels centerpiece mini-plate fixation for cervical compressive myelopathy: a five-year follow-up study. Int Orthop. 2016; 40(6):1267-74. DOI: 10.1007/s00264-016-3194-3. View

Chiba K, Ogawa Y, Ishii K, Takaishi H, Nakamura M, Maruiwa H . Long-term results of expansive open-door laminoplasty for cervical myelopathy--average 14-year follow-up study. Spine (Phila Pa 1976). 2006; 31(26):2998-3005. DOI: 10.1097/01.brs.0000250307.78987.6b. View

Yeh K, Lee R, Chen I, Yu T, Liu K, Peng C . Laminoplasty instead of laminectomy as a decompression method in posterior instrumented fusion for degenerative cervical kyphosis with stenosis. J Orthop Surg Res. 2015; 10:138. PMC: 4559293. DOI: 10.1186/s13018-015-0280-y. View

Hur J, Park Y, Kim B, Moon H, Kim J . Risk Factors for Delayed Hinge Fracture after Plate-Augmented Cervical Open-Door Laminoplasty. J Korean Neurosurg Soc. 2016; 59(4):368-73. PMC: 4954885. DOI: 10.3340/jkns.2016.59.4.368. View

Uematsu Y, Tokuhashi Y, Matsuzaki H . Radiculopathy after laminoplasty of the cervical spine. Spine (Phila Pa 1976). 1998; 23(19):2057-62. DOI: 10.1097/00007632-199810010-00004. View

Tjardes T, Shafizadeh S, Rixen D, Paffrath T, Bouillon B, Steinhausen E . Image-guided spine surgery: state of the art and future directions. Eur Spine J. 2009; 19(1):25-45. PMC: 2899744. DOI: 10.1007/s00586-009-1091-9. View

Kamimura M, Ebara S, Itoh H, Tateiwa Y, Kinoshita T, Takaoka K . Accurate pedicle screw insertion under the control of a computer-assisted image guiding system: laboratory test and clinical study. J Orthop Sci. 1999; 4(3):197-206. DOI: 10.1007/s007760050094. View

Kamimura M, Ebara S, Itoh H, Tateiwa Y, Kinoshita T, Takaoka K . Cervical pedicle screw insertion: assessment of safety and accuracy with computer-assisted image guidance. J Spinal Disord. 2000; 13(3):218-24. DOI: 10.1097/00002517-200006000-00004. View

10.

Kotani Y, Abumi K, Ito M, Minami A . Improved accuracy of computer-assisted cervical pedicle screw insertion. J Neurosurg. 2003; 99(3 Suppl):257-63. DOI: 10.3171/spi.2003.99.3.0257. View

11.

Moore T, McLain R . Image-guided surgery in resection of benign cervicothoracic spinal tumors: a report of two cases. Spine J. 2005; 5(1):109-14. DOI: 10.1016/j.spinee.2004.06.020. View

12.

Smith H, Vaccaro A, Yuan P, Papadopoulos S, Sasso R . The use of computerized image guidance in lumbar disk arthroplasty. J Spinal Disord Tech. 2006; 19(1):22-7. DOI: 10.1097/01.bsd.0000187977.76926.85. View

13.

Seichi A, Takeshita K, Kawaguchi H, Kawamura N, Higashikawa A, Nakamura K . Image-guided surgery for thoracic ossification of the posterior longitudinal ligament. Technical note. J Neurosurg Spine. 2005; 3(2):165-8. DOI: 10.3171/spi.2005.3.2.0165. View

14.

Hirabayashi K, Watanabe K, Wakano K, Suzuki N, Satomi K, Ishii Y . Expansive open-door laminoplasty for cervical spinal stenotic myelopathy. Spine (Phila Pa 1976). 1983; 8(7):693-9. DOI: 10.1097/00007632-198310000-00003. View

15.

Sun Y, Li L, Zhao J, Gu R . Comparison between anterior approaches and posterior approaches for the treatment of multilevel cervical spondylotic myelopathy: A meta-analysis. Clin Neurol Neurosurg. 2015; 134:28-36. DOI: 10.1016/j.clineuro.2015.04.011. View

16.

Lee J, Chough C . Risk Factors for Hinge Fracture Associated with Surgery Following Cervical Open-Door Laminoplasty. Korean J Neurotrauma. 2018; 14(2):118-122. PMC: 6218341. DOI: 10.13004/kjnt.2018.14.2.118. View

17.

Xia Y, Xia Y, Shen Q, Li H, Xu T . Influence of hinge position on the effectiveness of expansive open-door laminoplasty for cervical spondylotic myelopathy. J Spinal Disord Tech. 2011; 24(8):514-20. DOI: 10.1097/BSD.0b013e3182064632. View

18.

Zhang X, Zhang Y, Duan D, Xie H . A Novel Drill Navigation Template Combines Preoperative Simulation in Expansive Open-Door Laminoplasty. World Neurosurg. 2018; 118:e758-e765. DOI: 10.1016/j.wneu.2018.07.041. View

19.

Park A, Heller J . Cervical laminoplasty: use of a novel titanium plate to maintain canal expansion--surgical technique. J Spinal Disord Tech. 2004; 17(4):265-71. DOI: 10.1097/01.bsd.0000095401.27687.c0. View

20.

Hosono N, Yonenobu K, Ono K . Neck and shoulder pain after laminoplasty. A noticeable complication. Spine (Phila Pa 1976). 1996; 21(17):1969-73. DOI: 10.1097/00007632-199609010-00005. View