Short-Term Clinical Evaluation of Enhanced Unilateral Open-Door Laminoplasty Using Titanium Mesh

Asian Spine Journal
Adiguno Suryo Wicaksono, Wiryawan Manusubroto

Abstract

Observational, cross-sectional study. The purpose of this study was to evaluate the clinical efficacy and safety profile of open-door laminoplasty (ODL) using titanium mesh. The most appropriate surgical management of degenerative spine disorders, particularly ossification of the posterior longitudinal ligament, remains controversial and continues unabated in the neurosurgical community. However, recently, ODL has become popular among surgeons. Many modifications have been developed since Hirabayashi in 1983 to enhance the clinical efficacy and safety of this procedure. We reviewed the obtained data of patients with ossification of the posterior longitudinal ligament (OPLL) who underwent ODL using titanium mesh at Neurosurgery Subdivision, the Dr. Sardjito Hospital, Yogyakarta, Indonesia, during January 2013-December 2015. Motor improvement (Nurick score), axial neck pain (neck disability index [NDI]), and incidence of complications were pre- and postoperatively examined, and the clinical efficacy and safety of the procedure was evaluated. Data were analyzed using Wilcoxon signed-rank test and paired t -test. This study included five patients were included (i.e., four males and one female) with mean age of 47.00±9.68 years, whe...Continue Reading

References

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