Union Rate on Hinge Side after Open-Door Laminoplasty Using Maxillofacial Titanium Miniplate
Background. One of the important complications of open-door laminoplasty is a premature laminoplasty closure. In order to prevent premature laminoplasty closure many techniques have been described and a titanium miniplate is one of the instruments to maintain cervical canal expansion. This study was...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/767343 |
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| author | Koopong Siribumrungwong Theerasan Kiriratnikom Boonsin Tangtrakulwanich |
| author_facet | Koopong Siribumrungwong Theerasan Kiriratnikom Boonsin Tangtrakulwanich |
| author_sort | Koopong Siribumrungwong |
| collection | DOAJ |
| description | Background. One of the important complications of open-door laminoplasty is a premature laminoplasty closure. In order to prevent premature laminoplasty closure many techniques have been described and a titanium miniplate is one of the instruments to maintain cervical canal expansion. This study was performed to evaluate the effectiveness of titanium miniplates on the union rate for open-door laminoplasty. Materials and Methods. We performed open-door laminoplasty in 68 levels of fourteen patients using maxillofacial titanium miniplates. Axial computed tomography scans were obtained at 6 months postoperatively to evaluate the union rates of the hinge side. The Japanese Orthopedic Association (JOA) score was used to compare the clinical outcomes before and after surgery. Results. Computed tomography scan data was available on 68 levels in 14 patients. There were no premature closures of the hinge or miniplate dislodgements. The union rate on the hinge side was 70.5% (48/68). The mean JOA score increased significantly from 7.0 before surgery to 10.2, 12.2, and 13.0 after surgery at 1, 3, and 6 months, respectively. Conclusion. Open-door laminoplasty using maxillofacial titanium miniplates can provide union rates comparable to other techniques. It can maintain canal expansion without failures, dislodgements, and premature closures. |
| format | Article |
| id | doaj-art-6a23ca6b02e04261bafeb3e104298986 |
| institution | OA Journals |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-6a23ca6b02e04261bafeb3e1042989862025-08-20T02:06:06ZengWileyAdvances in Orthopedics2090-34642090-34722013-01-01201310.1155/2013/767343767343Union Rate on Hinge Side after Open-Door Laminoplasty Using Maxillofacial Titanium MiniplateKoopong Siribumrungwong0Theerasan Kiriratnikom1Boonsin Tangtrakulwanich2Department of Orthopedic Surgery and Physical Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkla 90110, ThailandDepartment of Orthopedic Surgery and Physical Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkla 90110, ThailandDepartment of Orthopedic Surgery and Physical Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkla 90110, ThailandBackground. One of the important complications of open-door laminoplasty is a premature laminoplasty closure. In order to prevent premature laminoplasty closure many techniques have been described and a titanium miniplate is one of the instruments to maintain cervical canal expansion. This study was performed to evaluate the effectiveness of titanium miniplates on the union rate for open-door laminoplasty. Materials and Methods. We performed open-door laminoplasty in 68 levels of fourteen patients using maxillofacial titanium miniplates. Axial computed tomography scans were obtained at 6 months postoperatively to evaluate the union rates of the hinge side. The Japanese Orthopedic Association (JOA) score was used to compare the clinical outcomes before and after surgery. Results. Computed tomography scan data was available on 68 levels in 14 patients. There were no premature closures of the hinge or miniplate dislodgements. The union rate on the hinge side was 70.5% (48/68). The mean JOA score increased significantly from 7.0 before surgery to 10.2, 12.2, and 13.0 after surgery at 1, 3, and 6 months, respectively. Conclusion. Open-door laminoplasty using maxillofacial titanium miniplates can provide union rates comparable to other techniques. It can maintain canal expansion without failures, dislodgements, and premature closures.http://dx.doi.org/10.1155/2013/767343 |
| spellingShingle | Koopong Siribumrungwong Theerasan Kiriratnikom Boonsin Tangtrakulwanich Union Rate on Hinge Side after Open-Door Laminoplasty Using Maxillofacial Titanium Miniplate Advances in Orthopedics |
| title | Union Rate on Hinge Side after Open-Door Laminoplasty Using
Maxillofacial Titanium Miniplate |
| title_full | Union Rate on Hinge Side after Open-Door Laminoplasty Using
Maxillofacial Titanium Miniplate |
| title_fullStr | Union Rate on Hinge Side after Open-Door Laminoplasty Using
Maxillofacial Titanium Miniplate |
| title_full_unstemmed | Union Rate on Hinge Side after Open-Door Laminoplasty Using
Maxillofacial Titanium Miniplate |
| title_short | Union Rate on Hinge Side after Open-Door Laminoplasty Using
Maxillofacial Titanium Miniplate |
| title_sort | union rate on hinge side after open door laminoplasty using maxillofacial titanium miniplate |
| url | http://dx.doi.org/10.1155/2013/767343 |
| work_keys_str_mv | AT koopongsiribumrungwong unionrateonhingesideafteropendoorlaminoplastyusingmaxillofacialtitaniumminiplate AT theerasankiriratnikom unionrateonhingesideafteropendoorlaminoplastyusingmaxillofacialtitaniumminiplate AT boonsintangtrakulwanich unionrateonhingesideafteropendoorlaminoplastyusingmaxillofacialtitaniumminiplate |