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Progressive Kyphosis Deformity with Facet Subluxation after Cervical Expansive Laminoplasty: A Case Report

INTRODUCTION: In Japan, laminoplasty is often chosen over anterior surgery for the treatment cervical spondylotic myelopathy because most patients are the elderly with multiple stenoses. Laminoplasty is associated with lower perioperative risk, and it can be executed by inexperienced surgeons with r...

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Autores principales: Noguchi, Hiroshi, Koda, Masao, Funayama, Toru, Takahashi, Hiroshi, Miura, Kousei, Yamazaki, Masashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634385/
https://www.ncbi.nlm.nih.gov/pubmed/36381005
http://dx.doi.org/10.13107/jocr.2022.v12.i04.2782
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author Noguchi, Hiroshi
Koda, Masao
Funayama, Toru
Takahashi, Hiroshi
Miura, Kousei
Yamazaki, Masashi
author_facet Noguchi, Hiroshi
Koda, Masao
Funayama, Toru
Takahashi, Hiroshi
Miura, Kousei
Yamazaki, Masashi
author_sort Noguchi, Hiroshi
collection PubMed
description INTRODUCTION: In Japan, laminoplasty is often chosen over anterior surgery for the treatment cervical spondylotic myelopathy because most patients are the elderly with multiple stenoses. Laminoplasty is associated with lower perioperative risk, and it can be executed by inexperienced surgeons with relative ease. However, it is also associated with progression of kyphosis, which can result in the deterioration of neck pain and recurrence of myelopathy. Herein, we present a case in which kyphosis deformity progressed post-laminoplasty, resulting in intervertebral joint dislocation and worsening myelopathy. CASE PRESENTATION: A 70-year-old Japanese man who underwent laminoplasty 10 months ago, presented with worsening myelopathy symptoms that had recurred after previously persisting for several days. These symptoms were associated with restenosis of the spinal canal at the C4/5 level due to spondylolisthesis and facet dislocation. As a corrective surgery, we performed anterior-posterior surgery. His post-operative course was almost satisfactory, and post-operative magnetic resonance imaging showed an improvement in spinal cord compression. CONCLUSION: Progressive kyphosis deformity can rarely lead to dislocation of the intervertebral joints, worsening myelopathy. Although the prevention of kyphotic deformity is still difficult, laminoplasty should be performed in patients with a high risk of post-operative kyphosis, such as in this case, considering the possibility of deterioration of myelopathy associated with kyphosis.
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spelling pubmed-96343852022-11-14 Progressive Kyphosis Deformity with Facet Subluxation after Cervical Expansive Laminoplasty: A Case Report Noguchi, Hiroshi Koda, Masao Funayama, Toru Takahashi, Hiroshi Miura, Kousei Yamazaki, Masashi J Orthop Case Rep Case Report INTRODUCTION: In Japan, laminoplasty is often chosen over anterior surgery for the treatment cervical spondylotic myelopathy because most patients are the elderly with multiple stenoses. Laminoplasty is associated with lower perioperative risk, and it can be executed by inexperienced surgeons with relative ease. However, it is also associated with progression of kyphosis, which can result in the deterioration of neck pain and recurrence of myelopathy. Herein, we present a case in which kyphosis deformity progressed post-laminoplasty, resulting in intervertebral joint dislocation and worsening myelopathy. CASE PRESENTATION: A 70-year-old Japanese man who underwent laminoplasty 10 months ago, presented with worsening myelopathy symptoms that had recurred after previously persisting for several days. These symptoms were associated with restenosis of the spinal canal at the C4/5 level due to spondylolisthesis and facet dislocation. As a corrective surgery, we performed anterior-posterior surgery. His post-operative course was almost satisfactory, and post-operative magnetic resonance imaging showed an improvement in spinal cord compression. CONCLUSION: Progressive kyphosis deformity can rarely lead to dislocation of the intervertebral joints, worsening myelopathy. Although the prevention of kyphotic deformity is still difficult, laminoplasty should be performed in patients with a high risk of post-operative kyphosis, such as in this case, considering the possibility of deterioration of myelopathy associated with kyphosis. Indian Orthopaedic Research Group 2022-04 2022-04 /pmc/articles/PMC9634385/ /pubmed/36381005 http://dx.doi.org/10.13107/jocr.2022.v12.i04.2782 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Noguchi, Hiroshi
Koda, Masao
Funayama, Toru
Takahashi, Hiroshi
Miura, Kousei
Yamazaki, Masashi
Progressive Kyphosis Deformity with Facet Subluxation after Cervical Expansive Laminoplasty: A Case Report
title Progressive Kyphosis Deformity with Facet Subluxation after Cervical Expansive Laminoplasty: A Case Report
title_full Progressive Kyphosis Deformity with Facet Subluxation after Cervical Expansive Laminoplasty: A Case Report
title_fullStr Progressive Kyphosis Deformity with Facet Subluxation after Cervical Expansive Laminoplasty: A Case Report
title_full_unstemmed Progressive Kyphosis Deformity with Facet Subluxation after Cervical Expansive Laminoplasty: A Case Report
title_short Progressive Kyphosis Deformity with Facet Subluxation after Cervical Expansive Laminoplasty: A Case Report
title_sort progressive kyphosis deformity with facet subluxation after cervical expansive laminoplasty: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634385/
https://www.ncbi.nlm.nih.gov/pubmed/36381005
http://dx.doi.org/10.13107/jocr.2022.v12.i04.2782
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