Turkish Neurosurgery
Posterior cervical pedicle screw-rod/plate instrumentation combined with unilateral open-door laminoplasty for the treatment of acute cervical spinal cord compression injury: report of five cases
Zhang Li 1, Sun Yu 1, Jiang Yongchong 2, Wang Yong 3
1Peking University Third Hospital, Beijing 100191, China., Department of Orthopedic Surgery, Beijing,
2he First Hospital of Qinhuangdao, Qinhuangdao 066001, China. , Department of Orthopedic Surgery, Qinhuangdao ,
3Beijing North Hospital of Ordnance Industry, Beijing 100081, China., Department of Surgery, Beijing,
DOI: 10.5137/1019-5149.JTN.15052-15.1

All patients were acute, multi-segment cervical spinal cord compression injury secondary to lower cervical fracture. These patients underwent emergency posterior cervical pedicle screw-rod/plate instrumentation combined with unilateral open-door laminoplasty. Well-placed pedicle screws and good cervical canal dilation were achieved in all patients, as assessed by radiography. Patients were followed up for 6-10 months and showed at least one class improvement in spinal impairment. These cases suggest that simple posterior cervical pedicle screw-rod/plate instrumentation combined with extensive unilateral open-door laminoplasty could repair acute, multi-segment cervical spinal cord compression injury secondary to lower cervical fracture if the cervical sequence is well preserved and does not require restoration.

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