Turkish Neurosurgery
Open-door laminoplasty with preservation of muscle attachments of C2 and C7 for cervical spondylotic myelopathy, Retrospective Study
Halil Ibrahim Secer1, Ferhat Harman2, Murat Hamit Aytar3, Serdar Kahraman4
1University of Kyrenia, Faculty of Medicine, Visiting Professor in Near East University, Faculty of Medicine , Neurosurgery Department, Kyrenia,
2Marmara University, Faculty of Medicine, Neurosurgery Deratment, İstanbul,
3Acibadem University, Vocational School of Health Services, Department of First Aid and Reanimation, İstanbul,
4Anadolu Medical Center, Department of Neurosurgery, İstanbul,
DOI: 10.5137/1019-5149.JTN.20007-17.1

Aim:Some restriction and complications, such as progression of kyphosis, incidence of axial neck pain and decrease of postoperative cervical range of motion are concern. We designed this retrospective clinical study to evaluate the effect of laminoplasty by preserving the muscle attachments of C2 and C7 spinous processes on ROM, axial neck pain and cervical lordosis.Material and Methods:27 cases with cervical spondylotic myelopathy underwent open-door laminoplasty with the protection of the muscles attachment to the C2 and C7 spinous process and laminae between 2007 and 2013. At the end of the follow-up, cases were evaluated with preoperative and postoperative modified Japanese Orthopedic Association (mJOA) scores, recovery rate, range-of-motion (ROM), lordosis angle and visual analogue scale (VAS). Also, patients were divided into two groups and evaluated according to the MRI findings, with or without T2 signal change.Results:The mean age was 66 years. The mean follow-up duration was 25 months. The postoperative mJOA scores were significantly higher than the preoperative mJOA scores (p<0,001). The recovery rate was 57.4%. Although postoperative VAS score was higher than the preoperative VAS score and the mean postoperative ROM was lower than preoperative ROM there was no significantly differences between preoperative and postoperative VAS score and ROM (p>0,05). The postoperative lordosis angle was significantly lower than the preoperative lordosis angle (p<0.05). There were no significant differences about postoperative lordosis angle, ROM and JOA scores between with or without T2 signal change on MRI.Conclusion:Protection of the anatomic structures around cervical spine such as the muscles and ligaments provides us better results about ROM and cervical axial pain.

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