Efficacy of cervical expansive open-door laminoplasty under ultrasound bone curette in the treatment of multilevel cervical spondylotic myelopathy

REN Yi; ZHANG Haihong

doi:10.16766/j.cnki.issn.1674-4152.003450

Volume 22 Issue 4

Apr. 2024

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Article Navigation > Chinese Journal of General Practice > 2024 > 22(4): 562-565

REN Yi, ZHANG Haihong. Efficacy of cervical expansive open-door laminoplasty under ultrasound bone curette in the treatment of multilevel cervical spondylotic myelopathy[J]. Chinese Journal of General Practice, 2024, 22(4): 562-565. doi: 10.16766/j.cnki.issn.1674-4152.003450

Citation:

REN Yi, ZHANG Haihong. Efficacy of cervical expansive open-door laminoplasty under ultrasound bone curette in the treatment of multilevel cervical spondylotic myelopathy[J]. Chinese Journal of General Practice, 2024, 22(4): 562-565. doi: 10.16766/j.cnki.issn.1674-4152.003450

Citation:

REN Yi, ZHANG Haihong. Efficacy of cervical expansive open-door laminoplasty under ultrasound bone curette in the treatment of multilevel cervical spondylotic myelopathy[J]. Chinese Journal of General Practice, 2024, 22(4): 562-565. doi: 10.16766/j.cnki.issn.1674-4152.003450

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Efficacy of cervical expansive open-door laminoplasty under ultrasound bone curette in the treatment of multilevel cervical spondylotic myelopathy

doi: 10.16766/j.cnki.issn.1674-4152.003450

REN Yi
, ZHANG Haihong^,

Department of Orthopedics, Lanzhou University Second Hospital, Lanzhou, Gansu 730030, China

Funds:

31960175

Received Date: 2023-12-22
Available Online: 2024-05-29

Abstract

Abstract

Objective To explore the efficacy of cervical expansive open-door laminoplasty (CEOL) under ultrasound bone curette (UBC) in the treatment of multilevel cervical spondylotic myelopathy (MCSM). Methods A total of 90 MCSM patients who received CEOL treatment at the Second Hospital of Lanzhou University from September 2021 to November 2022 were collected and divided into UBC group (48 cases) and conventional group (42 cases) according to whether UBC was used or not. Perioperative indexes, pain/function scores and imaging parameters were compared between the two groups. Results The operation duration [(115.00±18.74) min vs. (130.12±23.38) min], intraoperative blood loss [(152.17±27.36) mL vs. (246.39±30.05) mL] and postoperative drainage volume [(120.35±21.17) mL vs. (211.06±42.58) mL] in UBC group were lower than those in conventional group (t=3.403, 15.568, 13.039, P < 0.001). With the passage of time after surgery, visual analogue score (VAS), cervical posterior extension range of motion (ROM) and cervical curvature all showed a decreasing trend (P < 0.05). Japanese Orthopaedic Association (JOA) score, sagittal vertical axis (SVA) and vertebrae-spinal cord posterior margin distance all showed an increasing trend (P < 0.05). Differences in the comparison of all scores and imaging parameters between the two groups and on the interaction between the groups and time were not statistically significant (P>0.05). Conclusion UBC and CEOL assisted with bone rongeur can alleviate pain in MCSM patients, promote spinal cord to drift backward, restore nerve function, and have little effect on cervical motion. Compared with bone rongeur, UBC can significantly shorten the duration of operation, reduce intraoperative blood loss and postoperative drainage flow, but CEOL has a certain impact on the cervical sagittal balance of patients, and clinical attention should be paid to it.
- Multilevel cervical spondylotic myelopathy,
- Ultrasound bone curette,
- Cervical expansive open-door laminoplasty,
- Sagittal equilibrium

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References(20)

References

[1]	申远, 宇洪浩, 原泉. 不同手术方式对多节段脊髓型颈椎病患者治疗效果和预后的影响[J]. 河北医学, 2023, 29(6): 1026-1032. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX202306028.htm SHEN Y, YU H H, YUAN Q. Effect of Different Surgical Approaches on the Treatment Outcome and Prognosis of Patients with Multi-Segmental Spinal Cord Cervical Spondylosis[J]. Hebei Medicine, 2023, 29(6): 1026-1032. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX202306028.htm
[2]	GHOGAWALA Z, TERRIN N, DUNBAR M R, et al. Effect of ventral vs dorsal spinal surgery on patient-reported physical functioning in patients with cervical spondylotic myelopathy: a randomized clinical trial[J]. JAMA, 2021, 325(10): 942-951. doi: 10.1001/jama.2021.1233
[3]	赵国权, 陆廷盛, 姚书眈, 等. 保留棘突的颈椎后路单开门椎管扩大成形术治疗脊髓型颈椎病[J]. 西部医学, 2021, 33(8): 1184-1188. https://www.cnki.com.cn/Article/CJFDTOTAL-XIBU202108020.htm ZHAO G Q, LU T S, YAO S D, et al. The clinical effect of spinal process-preserving posterior approach with single open door spinal canal enlargement for the treatment of cervical spondylotic myelopathy[J]. Medical Journal of West China, 2021, 33(8): 1184-1188. https://www.cnki.com.cn/Article/CJFDTOTAL-XIBU202108020.htm
[4]	NORI S, NAGOSHI N, SUZUKI S, et al. K-line (-) in the neck-flexed position negatively affects surgical outcome of expansive open-door laminoplasty for cervica spondylotic myelopathy[J]. J Orthop Sci, 2022, 27(3): 551-557. doi: 10.1016/j.jos.2021.02.005
[5]	LIN J D, TAN L A, TUCHMAN A, et al. Quantitative and qualitative analyses of spinal canal encroachment during cervical laminectomy using the kerrison rongeur versus High-Speed burr[J]. Br J Neurosurg, 2019, 33(2): 131-134. doi: 10.1080/02688697.2018.1559274
[6]	郭亮兵, 潘玉林, 郭小伟, 等. 超声骨刀截骨和高速磨钻截骨行颈后路单开门椎管扩大成形微型钛板内固定治疗多节段脊髓型颈椎病的对比研究[J]. 中医正骨, 2021, 33(8): 23-27, 42. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZG202108005.htm GUO L B, PAN Y L, GUO X W, et al. A comparison of piezosurgery and high-speed grinding drill for osteotomy in unilateral open-door laminopl asty and miniature titanium plates internal fixation through cervical posterior approach for treatment of multisegment cervical spondylotic myelopathy[J]. The Journal of Traditional Chinese Orthopedics and Traumatology, 2021, 33(8): 23-27, 42. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZG202108005.htm
[7]	BANSAL P, KUMAR V, VATKAR A J, et al. Ultrasonic bone scalpel versus conventional methods for osteotomy in posterior surgery for cervical spondylotic myelopathy: a review and meta-analysis[J]. Asian Spine J, 2023, 17(5): 964-974. doi: 10.31616/asj.2022.0400
[8]	李华强, 高书涛, 栾昊鹏, 等. 超声骨刀与高速磨钻应用于颈椎后路单开门椎管扩大成形术的有效性及安全性的Meta分析[J]. 中国脊柱脊髓杂志, 2021, 31(9): 783-793. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZS202109003.htm LI H Q, GAO S T, LUAN H P, et al. A Meta-analysis of the effectiveness and safety of ultrasonic bone curette versus high-speed drill in the treatment of cervical expansive open-door laminoplasty[J]. Chinese Journal of Spine and Spinal Cord, 2021, 31(9): 783-793. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZS202109003.htm
[9]	严广斌. 视觉模拟评分法(VAS)[J]. 中华关节外科杂志(电子版), 2014, 8(2): 273. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHGJ201402037.htm YAN G B. Visual analogue Scale (VAS)[J]. Chinese Journal of Joint Surgery (Electronic Edition), 2014, 8(2): 273. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHGJ201402037.htm
[10]	孙兵, 车晓明. 日本骨科协会评估治疗(JOA评分)[J]. 中华神经外科杂志, 2013, 29(9): 969. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY202121036.htm SUN B, CHE X M. Japanese Orthopaedic Association Evaluation Treatment (JOA Score)[J]. Chinese Journal of Neurosurgery, 2013, 29(9): 969. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY202121036.htm
[11]	LEE J J, LEE N, OH S H, et al. Clinical and radiological outcomes of multilevel cervical laminoplasty versus three-level anterior cervical discectomy and fusion in patients with cervical spondylotic myelopathy[J]. Quant Imaging Med Surg, 2020, 10(11): 2112-2124. doi: 10.21037/qims-20-220
[12]	WEINBERG D S, RHEE J M. Cervical laminoplasty: indication, technique, complications[J]. J Spine Surg, 2020, 6(1): 290-301. doi: 10.21037/jss.2020.01.05
[13]	HIRABAYASHI S, KITAGAWA T, YAMAMOTO I, et al. Development and achievement of cervical laminoplasty and related studies on cervical myelopathy[J]. Spine Surg Relat Res, 2019, 4(1): 8-17.
[14]	陈丹. 超声骨刀在颈椎病单开门椎管扩大成形术中的运用价值及对术后应激反应的影响[J]. 颈腰痛杂志, 2022, 43(3): 452-453. https://www.cnki.com.cn/Article/CJFDTOTAL-JYTZ202203047.htm CHEN D. The application value of ultrasonic osteotome in single open door extended vertebral canal plasty for cervical spondylosis and its influence on postoperative stress response[J]. The Journal of Cervicodynia and Lumbodynia, 2022, 43(3): 452-453. https://www.cnki.com.cn/Article/CJFDTOTAL-JYTZ202203047.htm
[15]	邓哲, 吴建明, 邹明, 等. 片状超声骨刀头在颈椎后路单开门微型钛板内固定治疗多节段脊髓型颈椎病术中的应用[J]. 中国骨与关节损伤杂志, 2020, 35(5): 480-482. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202005011.htm DENG Z, WU J M, ZOU M, et al. Application of flap ultrasonic bone cutter head in the treatment of multilevel cervical spondylotic myelopathy with single door micro-titanium plate internal fixation in posterior cervical spine[J]. Chinese Journal of Bone and Joint Injury, 2020, 35(5): 480-482. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202005011.htm
[16]	KIM C H, CHUNG C K, CHOI Y, et al. The efficacy of ultrasonic bone scalpel for unilateral cervical open-door laminoplasty: a randomized controlled trial[J]. Neurosurgery, 2020, 86(6): 825-834. doi: 10.1093/neuros/nyz301
[17]	关海山, 李承罡, 史洁, 等. 前路减压融合术与后路单开门椎管扩大成形术治疗多节段脊髓型颈椎病的中期随访研究[J]. 中华骨科杂志, 2019, 39(17): 1044-1052. https://www.cnki.com.cn/Article/CJFDTOTAL-DDYI202208040.htm GUAN H S, LI C G, SHI J, et al. Comparison of the middle-term follow-up results between anterior decompression with fusion and posterior open-door laminoplasty for treatment of multi-level cervical spondylotic myelopathy[J]. Chinese Journal of Orthopaedics, 2019, 39(17): 1044-1052. https://www.cnki.com.cn/Article/CJFDTOTAL-DDYI202208040.htm
[18]	张启福, 马永红, 王涛, 等. 颈椎前路椎体次全切植骨融合和后路单开门椎管扩大成形治疗多节段脊髓型颈椎病: 对颈椎活动度的影响[J]. 中国组织工程研究, 2021, 25(24): 3870-3874. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF202124021.htm ZHANG Q F, MA Y H, WANG T, et al. Effects of anterior corpectomy and fusion versus posterior single open-door laminoplasty on cervical range of motion of patients with multilevel cervical spondylotic myelopathy[J]. Chinese Journal of Tissue Engineering Research, 2021, 25(24): 3870-3874. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF202124021.htm
[19]	WADDELL W H, VAUGHAN W E, ABTAHI A M. Radiographic parameters in cervical myelopathy: review of current literature[J]. Clin Spine Surg, 2022, 35(10): 389-395. doi: 10.1097/BSD.0000000000001412
[20]	王理想, 李春根, 尹辛成, 等. 颈椎后路单开门椎管扩大成形术对患者术后颈椎矢状面平衡的影响[J]. 吉林大学学报(医学版), 2023, 49(5): 1318-1324. https://www.cnki.com.cn/Article/CJFDTOTAL-BQEB202305027.htm WANG L X, LI C G, YIN X C, et al. Effect of posterior cervical single open-door expansive laminoplasty on sagittal plane balance of cervical spine of patients after operation[J]. Journal of Jilin University: Medicine Edition, 2023, 49(5): 1318-1324. https://www.cnki.com.cn/Article/CJFDTOTAL-BQEB202305027.htm

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Efficacy of cervical expansive open-door laminoplasty under ultrasound bone curette in the treatment of multilevel cervical spondylotic myelopathy

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Efficacy of cervical expansive open-door laminoplasty under ultrasound bone curette in the treatment of multilevel cervical spondylotic myelopathy

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