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Accuracy of the trough position in expansive open-door cervical laminoplasty using computer navigation techniques: a single-centre retrospective study

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Abstract

Purpose

This study aims to assess whether computer navigation can improve the accuracy of the trough position and clinical outcomes of expansive open-door cervical laminoplasty (EOLP).

Methods

We reviewed a single centre of 28 conventional EOLP and 24 computer navigation EOLP cases. The conventional group had 102 laminae while the navigation group had 88. The distance from the medial cortex to the pedicle on the open-door side (OD) and hinge side (HD) was measured. Furthermore, the area of the spinal canal corresponding to each lamina before and after the surgical procedure was also measured. We then compared the differences in radiographic parameters and clinical outcomes between the two groups.

Results

OD and HD were smaller in the navigation group compared to the conventional group, and the enlarged area of the spinal canal was larger in the navigation group than in the conventional group. The Japanese Orthopaedic Association (JOA) scores one year after the surgical procedure improved in both groups compared to the pre-operative period, and the JOA recovery rate was higher in the navigation group. The incidence of hinge fracture was lower in the navigation group, and the incidence of C5 palsy and axial pain was not statistically different between the two groups.

Conclusion

The use of computer navigation techniques has the potential to significantly improve the accuracy of EOLP compared to conventional procedures. It has been shown to more fully expand the spinal canal and contribute to clinical efficacy.

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References

  1. Ogawa Y, Chiba K, Matsumoto M, Nakamura M, Takaishi H, Hirabayashi H, Hirabayashi K, Nishiwaki Y, Toyama Y (2005) Long-term results after expansive open-door laminoplasty for the segmental-type of ossification of the posterior longitudinal ligament of the cervical spine: a comparison with nonsegmental-type lesions. J Neurosurg Spine 3:198–204. https://doi.org/10.3171/spi.2005.3.3.0198

    Article  PubMed  Google Scholar 

  2. Wang LN, Wang L, Song YM, Yang X, Liu LM, Li T (2016) Clinical and radiographic outcome of unilateral open-door laminoplasty with alternative levels centerpiece mini-plate fixation for cervical compressive myelopathy: a five-year follow-up study. Int Orthop 40:1267–1274. https://doi.org/10.1007/s00264-016-3194-3

    Article  PubMed  Google Scholar 

  3. Chiba K, Ogawa Y, Ishii K, Takaishi H, Nakamura M, Maruiwa H, Matsumoto M, Toyama Y (2006) Long-term results of expansive open-door laminoplasty for cervical myelopathy—average 14-year follow-up study. Spine 31:2998–3005. https://doi.org/10.1097/01.brs.0000250307.78987.6b

    Article  PubMed  Google Scholar 

  4. Yeh KT, Lee RP, Chen IH, Yu TC, Liu KL, Peng CH, Wang JH, Wu WT (2015) Laminoplasty instead of laminectomy as a decompression method in posterior instrumented fusion for degenerative cervical kyphosis with stenosis. J Orthop Surg Res 10:138. https://doi.org/10.1186/s13018-015-0280-y

    Article  PubMed  PubMed Central  Google Scholar 

  5. Hur JW, Park YK, Kim BJ, Moon HJ, Kim JH (2016) Risk factors for delayed hinge fracture after plate-augmented cervical open-door laminoplasty. J Korean Neurosurg Soc 59:368–373. https://doi.org/10.3340/jkns.2016.59.4.368

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Uematsu Y, Tokuhashi Y, Matsuzaki H (1998) Radiculopathy after laminoplasty of the cervical spine. Spine 23:2057–2062. https://doi.org/10.1097/00007632-199810010-00004

    Article  CAS  PubMed  Google Scholar 

  7. Tjardes T, Shafizadeh S, Rixen D, Paffrath T, Bouillon B, Steinhausen ES, Baethis H (2010) Image-guided spine surgery: state of the art and future directions. Eur Spine J 19:25–45. https://doi.org/10.1007/s00586-009-1091-9

    Article  PubMed  Google Scholar 

  8. Lange N, Meyer B, Meyer HS (2021) Navigation for surgical treatment of disorders of the cervical spine – a systematic review. J Orthop Surg 29:23094990211012864. https://doi.org/10.1177/23094990211012865

    Article  Google Scholar 

  9. Merloz P, Tonetti J, Pittet L, Coulomb M, Lavallee S, Sautot P (1998) Pedicle screw placement using image guided techniques. Clin Orthop Relat Res:39–48. https://doi.org/10.1097/00003086-199809000-00006

  10. Kamimura M, Ebara S, Itoh H, Tateiwa Y, Kinoshita T, Takaoka K (1999) Accurate pedicle screw insertion under the control of a computer-assisted image guiding system: laboratory test and clinical study. J Orthop Sci 4:197–206. https://doi.org/10.1007/s007760050094

    Article  CAS  PubMed  Google Scholar 

  11. Kamimura M, Ebara S, Itoh H, Tateiwa Y, Kinoshita T, Takaoka K (2000) Cervical pedicle screw insertion: assessment of safety and accuracy with computer-assisted image guidance. J Spinal Disord 13:218–224. https://doi.org/10.1097/00002517-200006000-00004

    Article  CAS  PubMed  Google Scholar 

  12. Kotani Y, Abumi K, Ito M, Minami A (2003) Improved accuracy of computer-assisted cervical pedicle screw insertion. J Neurosurg 99:257–263. https://doi.org/10.3171/spi.2003.99.3.0257

    Article  PubMed  Google Scholar 

  13. Moore T, McLain RF (2005) Image-guided surgery in resection of benign cervicothoracic spinal tumors: a report of two cases. Spine J 5:109–114. https://doi.org/10.1016/j.spinee.2004.06.020

    Article  PubMed  Google Scholar 

  14. Smith HE, Vaccaro AR, Yuan PS, Papadopoulos S, Sasso R (2006) The use of computerized image guidance in lumbar disk arthroplasty. J Spinal Disord Tech 19:22–27. https://doi.org/10.1097/01.bsd.0000187977.76926.85

    Article  PubMed  Google Scholar 

  15. Seichi A, Takeshita K, Kawaguchi H, Kawamura N, Higashikawa A, Nakamura K (2005) Image-guided surgery for thoracic ossification of the posterior longitudinal ligament. Technical note. J Neurosurg Spine 3:165–168. https://doi.org/10.3171/spi.2005.3.2.0165

    Article  PubMed  Google Scholar 

  16. Hirabayashi K, Watanabe K, Wakano K, Suzuki N, Satomi K, Ishii Y (1983) Expansive open-door laminoplasty for cervical spinal stenotic myelopathy. Spine 8:693–699. https://doi.org/10.1097/00007632-198310000-00003

    Article  CAS  PubMed  Google Scholar 

  17. Sun Y, Li L, Zhao J, Gu R (2015) Comparison between anterior approaches and posterior approaches for the treatment of multilevel cervical spondylotic myelopathy: a meta-analysis. Clin Neurol Neurosurg 134:28–36. https://doi.org/10.1016/j.clineuro.2015.04.011

    Article  PubMed  Google Scholar 

  18. Lee JH, Chough CK (2018) Risk factors for hinge fracture associated with surgery following cervical open-door laminoplasty. Korean J Neurotrauma 14:118–122. https://doi.org/10.13004/kjnt.2018.14.2.118

    Article  PubMed  PubMed Central  Google Scholar 

  19. Xia Y, Xia Y, Shen Q, Li H, Xu T (2011) Influence of hinge position on the effectiveness of expansive open-door laminoplasty for cervical spondylotic myelopathy. J Spinal Disord Tech 24:514–520. https://doi.org/10.1097/BSD.0b013e3182064632

    Article  PubMed  Google Scholar 

  20. Zhang X, Zhang Y, Duan D, Xie H (2018) A novel drill navigation template combines preoperative simulation in expansive open-door laminoplasty. World Neurosurg 118:e758–e765. https://doi.org/10.1016/j.wneu.2018.07.041

    Article  PubMed  Google Scholar 

  21. Park AE, Heller JG (2004) Cervical laminoplasty: use of a novel titanium plate to maintain canal expansion—surgical technique. J Spinal Disord Tech 17:265–271. https://doi.org/10.1097/01.bsd.0000095401.27687.c0

    Article  PubMed  Google Scholar 

  22. Hosono N, Yonenobu K, Ono K (1996) Neck and shoulder pain after laminoplasty A noticeable complication. Spine 21:1969–1973. https://doi.org/10.1097/00007632-199609010-00005

    Article  CAS  PubMed  Google Scholar 

  23. Chen H, Liu H, Zou L, Li T, Gong Q, Song Y, Zeng J, Liu L, Kong Q (2016) Effect of mini-plate fixation on hinge fracture and bony fusion in unilateral open-door cervical expansive laminoplasty. Clin Spine Surg 29:E288-295. https://doi.org/10.1097/bsd.0000000000000131

    Article  PubMed  Google Scholar 

  24. Hirabayashi K, Satomi K (1988) Operative procedure and results of expansive open-door laminoplasty. Spine 13:870–876. https://doi.org/10.1097/00007632-198807000-00032

    Article  CAS  PubMed  Google Scholar 

  25. Okada M, Minamide A, Endo T, Yoshida M, Kawakami M, Ando M, Hashizume H, Nakagawa Y, Maio K (2009) A prospective randomized study of clinical outcomes in patients with cervical compressive myelopathy treated with open-door or French-door laminoplasty. Spine 34:1119–1126. https://doi.org/10.1097/BRS.0b013e31819c3b61

    Article  PubMed  Google Scholar 

  26. Kong Q, Zhang L, Liu L, Li T, Gong Q, Zeng J, Song Y, Liu H, Wang S, Sun Y, Zhang F, Li M, Chen Z (2011) Effect of the decompressive extent on the magnitude of the spinal cord shift after expansive open-door laminoplasty. Spine 36:1030–1036. https://doi.org/10.1097/BRS.0b013e3181e80507

    Article  PubMed  Google Scholar 

  27. Imagama S, Matsuyama Y, Yukawa Y, Kawakami N, Kamiya M, Kanemura T, Ishiguro N (2010) C5 palsy after cervical laminoplasty: a multicentre study. J Bone Joint Surg Br 92:393–400. https://doi.org/10.1302/0301-620x.92b3.22786

    Article  CAS  PubMed  Google Scholar 

  28. Chiba K, Toyama Y, Matsumoto M, Maruiwa H, Watanabe M, Hirabayashi K (2002) Segmental motor paralysis after expansive open-door laminoplasty. Spine 27:2108–2115. https://doi.org/10.1097/00007632-200210010-00006

    Article  PubMed  Google Scholar 

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Acknowledgements

We would like to thank Dr. Kai Zhang from Shanghai Ninth People’s Hospital for helpful discussion.

Funding

This work was supported by the Natural Science Foundation of Fujian Province, China (Grant No. 2021J05073).

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Authors and Affiliations

  1. Department of Orthopaedics, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China

    Jianping Tian, Yuan Lin, Wu Zheng, Yuhua Xiao & Jie Xu

Authors
  1. Jianping Tian
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  2. Yuan Lin
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  3. Wu Zheng
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  4. Yuhua Xiao
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  5. Jie Xu
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Contributions

All authors contributed to the study conception and design. Data collection and analysis were performed by JT, YL, WZ, and YX. The first draft of the manuscript was written by JT, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Jie Xu.

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Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Fujian Provincial Hospital.

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Informed consent was obtained from all individual participants included in the study.

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Patients signed informed consent regarding publishing their data.

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The authors declare no competing interests.

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Tian, J., Lin, Y., Zheng, W. et al. Accuracy of the trough position in expansive open-door cervical laminoplasty using computer navigation techniques: a single-centre retrospective study. International Orthopaedics (SICOT) 46, 2907–2912 (2022). https://doi.org/10.1007/s00264-022-05585-w

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