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Cervical laminoplasty with unilateral C4-5 foraminotomy: Technical note and case series

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dc.contributor.author Marcó Del Pont, Francisco
dc.contributor.author Giovannini, Sebastián Juan María
dc.contributor.author Ries Centeno, Tomás
dc.contributor.author Caffaratti, Guido
dc.contributor.author Lorefice, Emiliano
dc.contributor.author Cervio, Andrés Eduardo
dc.date.accessioned 2022-08-24T16:04:37Z
dc.date.available 2022-08-24T16:04:37Z
dc.date.issued 2021-06-18
dc.identifier.citation Marcó Del Pont F, Giovannini SJM, Ries Centeno T, Caffaratti G, Lorefice E, Cervio A. Cervical laminoplasty with unilateral C4-5 foraminotomy: Technical note and case series. Neurocirugia (Astur : Engl Ed). 2021 Sep-Oct;32(5):224-230. doi: 10.1016/j.neucie.2021.06.001 es_ES
dc.identifier.uri https://doi.org/10.1016/j.neucie.2021.06.001
dc.identifier.uri https://repositorio.fleni.org.ar/xmlui/handle/123456789/654
dc.description.abstract Objective The open-door laminoplasty technique is widely used in the treatment of multilevel cervical myelopathy. Despite the satisfactory functional and radiological results of this technique, postoperative C5 palsy is still a severe and disabling complication with a variable incidence in the literature. The objective of this article is to describe and demonstrate the surgical technique step by step with the addition of unilateral C4-5 foraminotomy and to evaluate the results obtained to date, with special emphasis on C5 palsy. Material and methods Retrospective study of 20 patients operated on for cervical myelopathy using the “extended” laminoplasty technique, which is described step by step. Results Between January 2013 and April 2019, 20 patients were operated on using the extended laminoplasty technique. Only one patient (5%) presented postoperative C5 palsy. The postoperative recovery rate of the modified JOA (Japanese Orthopaedic Association) score was 54.5%, similar to that observed in other series. Conclusion The extended cervical laminoplasty technique with unilateral C4-5 foraminotomy was developed and demonstrated for the prevention of C5 palsy. The results were analysed and an incidence of C5 palsy coinciding with the lowest percentage reported in the literature was obtained. A prospective randomised study would be useful to assess the role of preventive unilateral C4-5 foraminotomy. es_ES
dc.language.iso eng es_ES
dc.publisher Elsevier es_ES
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Laminectomy es_ES
dc.subject Laminectomía es_ES
dc.subject Laminoplasty es_ES
dc.subject Laminoplastía es_ES
dc.title Cervical laminoplasty with unilateral C4-5 foraminotomy: Technical note and case series es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.description.fil Fil: Marcó del Pont, Francisco. Fleni. Departamento de Neurocirugía; Argentina.
dc.description.fil Fil: Giovannini, Sebastián Juan María. Fleni. Departamento de Neurología; Argentina.
dc.description.fil Fil: Ries Centeno, Tomás. Fleni. Departamento de Neurología; Argentina.
dc.description.fil Fil: Lorefice, Fernando. Fleni. Departamento de Neurología; Argentina.
dc.description.fil Fil: Caffaratti, Guido. Fleni. Departamento de Neurología; Argentina.
dc.description.fil Fil: Cervio, Andrés Eduardo. Fleni. Departamento de Neurocirugía; Argentina.
dc.relation.ispartofVOLUME 32
dc.relation.ispartofNUMBER 5
dc.relation.ispartofPAGINATION 224-230
dc.relation.ispartofCOUNTRY España
dc.relation.ispartofCITY Barcelona
dc.relation.ispartofTITLE Neurocirugía (English Edition)
dc.relation.ispartofISBN 2340-6305


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