Japanese

Clinical Efficacy of Preservating the Attachments of the Semispinalis Cervicis to the C2 Spinous Process and the C2-3 Complex during Cervical Laminoplasty Koji MURAKAMI 1 , Ko IKUTA 1 , Shoji BABA 1 , Norihiro KOMIYA 1 , Takahiro KITAMURA 1 , Hideyuki SENBA 1 , Satoshi SHIDAHARA 1 1Department of Orthopedic Surgery, Karatsu Red Cross Hospital Keyword: 軸性疼痛(axial pain) , 頚椎椎弓形成術(cervical laminoplasty) , 頚半棘筋(semispinalis cervicis) pp.1141-1145
Published Date 2013/11/25
DOI https://doi.org/10.11477/mf.1408102889
  • Abstract
  • Look Inside
  • Reference

 Background:The purpose of this study was to assess the efficacy of preserving the semispinalis cervicis attachments to the C2 spinous process and the C2-3 complex during cervical laminoplasty.

 Methods:We reviewed the cases of 28 patients who underwent cervical laminoplasty (midline enlargement). The muscle attachments to the C2 spinous process and the C2-3 complex were completely preserved in 10 patients, whereas in the other 18 patients the semispinalis cervicis was detatched from the C2 spinous process and C2-C3 complex together with small bone fragments, and the attachments were reconstructed at the end of the procedure.

 Results:There were no significant differences between the two groups in the JOA score recovery rate, the incidence of postoperative axial pain, or changes in the cervical curvature morphology during the follow-up period.

 Conclusion:Contrary to expectation, we found no evidence of any clinical benefit of preserving the semispinalis cervicis attachments to the C2 spinous process and the C2-3 complex during cervical laminoplasty.


Copyright © 2013, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

関連文献

もっと見る

文献を共有