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《The Journal of Cervicodynia and Lumbodynia》 2014-03
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Effect of expansive unilateral open door laminoplasty via titanium miniplate in the treatment of ossification of the posterior longitudinal ligament

DONG Zhi-hui;DING Wen-yuan;SHEN Yong;Department of Spinal Surgery,The Third Hospital of Hebei Medical University;  
Objective To investigate the clinical efficacy of expansive unilateral open door laminoplasty via titanium miniplate in the treatment of ossification of the posterior longitudinal ligament. Methods From June 2012 to June 2013,48 cases with ossification of the posterior longitudinal ligament undergoing surgical treatment were retrospectively reviewed. The patients were randomly divided into two groups. The operation time,blood loss,anteroposterior diameter of the spinal canal index,opening angle,spinal canal expansion rate were recorded. The recovery of neural function after operation was measured by JOA score. Results Titanium plate group:the preoperative JOA score was(8.4±1.7),the final follow-up JOA score was(13.6±2.2),the improvement rate was 60.5%. Traditional group:the preoperative JOA score was(8.5±1.5),the final follow-up JOA score was(11.6±2.0),the improvement rate was 50.5%. Conclusion Cervical micro titanium plate fixation in cervical laminoplasty can effectively maintain the postoperative angle of the door,and prevent"door reclosure"phenomenon,it is an effective method to cure ossification of the posterior longitudinal ligament.
【CateGory Index】: R687.3
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