Turkish Neurosurgery 2018 , Vol 28 , Num 1
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
Li ZHANG1,Yu SUN1,Yongchong JIANG2,Yong WANG3
1Peking University Third Hospital, Department of Orthopedic Surgery, Beijing, China
2The First Hospital of Qinhuangdao, Department of Orthopedic Surgery, Qinhuangdao, China
3Beijing North Hospital of Ordnance Industry, Department of Surgery, Beijing, China
DOI : 10.5137/1019-5149.JTN.15052-15.1 All patients were acute, multi-segment cervical spinal cord compression injury secondary to subaxial cervical spine 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 subaxial cervical spine fracture if the cervical spine sequence is well preserved and does not require restoration. Keywords : Subaxial cervical spine fracture, Multi-segment spinal cord compression, Pedicle screw, Laminoplasty
Corresponding author : Yu SUN, zhanglimed@163.com