Abstract
Decompressive surgery is the accepted treatment for the patients of cervical compressive myelopathy. Laminoplasty is an established procedure for the decompression of multisegmental stenosis in cervical spine. French-door laminoplasty is one of the most popular double-door laminoplasties, which was developed in 1980 by Kurokawa et al. French-door laminoplasty can be indicated to most of cases with compressive myelopathy in the cervical spine. This procedure is available at all levels between C2 and C7 and sometimes applied to upper thoracic levels. This procedure has acquired good surgical results with minimal invasiveness and lower rate of complications. However, there are some limitations for surgical indications. When the patients have local kyphosis >13°, K-line (−), or higher occupied ratio of OPLL (>50%), the surgical outcomes would be poor.
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References
Hirabayashi K, Miyakawa J, Satomi K, et al. Operative results and postoperative progression of ossification among patients with ossification of cervical posterior longitudinal ligament. Spine. 1981;6(4):354–64.
Kurokawa T, Tsuyama N, Tanaka H, et al. Enlargement of the spinal canal by the sagittal splitting of the spinous processes (in Japanese). Bessatsu Seikeigeka. 1982;2:234–40.
Okada M, Minamide A, Endo T, et al. A prospective randomized study of clinical outcomes in patients with cervical compressive myelopathy treated with open-door or French-door laminoplasty. Spine. 2009;34:1119–26.
Nakashima H, Kato F, Yukawa Y, et al. Comparative effectiveness of open-door laminoplasty versus French-door laminoplasty in cervical compressive myelopathy. Spine (Phila Pa 1976). 2014;39:642–7.
Machino M, Yukawa Y, et al. Modified double-door laminoplasty in managing multilevel cervical spondylotic myelopathy: surgical outcome in 520 patients and technique description. J Spinal Disord Tech. 2013;26(3):135–40.
Fujiyoshi T, Yamazaki M, Kawabe J, et al. A new concept for making decisions regarding the surgical approach for cervical ossification of the posterior longitudinal ligament: the K-line. Spine (Phila Pa 1976). 2008;33(26):E990–3.
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Yukawa, Y. (2019). French-Door Laminoplasty for Cervical Compressive Myelopathy. In: Koller, H., Robinson, Y. (eds) Cervical Spine Surgery: Standard and Advanced Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-93432-7_64
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DOI: https://doi.org/10.1007/978-3-319-93432-7_64
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-93431-0
Online ISBN: 978-3-319-93432-7
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