Outcome of osteoplastic laminotomy for excision of spinal cord tumours.

Yoshihiro Matsumoto, Katsumi Harimaya, Toshio Doi, Takeshi Maeda, Yukihide Iwamoto

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Abstract

PURPOSE: To evaluate the outcome of osteoplastic laminotomy after excision of primary tumours of the thoracolumbar and lumbar spine. METHODS: Records of 10 male and 11 female consecutive patients aged 15 to 57 (mean, 37) years who underwent osteoplastic laminotomy for excision of spinal cord tumours in the thoracolumbar (n=13) and lumbar (n=8) spine were reviewed. After tumour resection, the removed posterior elements were reattached to the superior and inferior processes using anchoring sutures. Pre- and post-operative functional status was retrospectively graded according to the modified McCormick scale. Spinal deformities were classified as sagittal and coronal malalignment, segmental instability, and spondylolisthesis. RESULTS: The mean follow-up duration was 43 (range, 12-108) months. The mean number of laminae excised was 1.3 (range, 1-4). At the final follow-up, the modified McCormick scale score improved in 16 patients, remained unchanged in 4, and deteriorated in one. No patient developed any severe complication, recurrence, spondylolisthesis, or aseptic necrosis of grafted laminae. In 2 patients their spinal deformities became worse: one had segmental instability of 17 degrees at L3-4 secondary to non-union of the L3 lamina; the other (with type-I neurofibromatosis and dystrophic deformity) underwent fusion for severe low back pain and lumbar kyphosis and progressive rotational dislocation, despite union of the grafted L2 lamina. CONCLUSIONS: Osteoplastic laminotomy preserves the structures that could be important for spinal stability and may reduce the risk of deformities. Anterior strut grafting and posterior fusion may be necessary in neurofibromatosis patients with dystrophic deformities.

Original languageEnglish
Pages (from-to)275-279
Number of pages5
JournalJournal of orthopaedic surgery (Hong Kong)
Volume17
Issue number3
Publication statusPublished - Jan 1 2009

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Spinal Cord Neoplasms
Laminectomy
Spondylolisthesis
Spine
Kyphosis
Neurofibromatoses
Neurofibromatosis 1
Low Back Pain
Sutures
Neoplasms
Necrosis
Recurrence

All Science Journal Classification (ASJC) codes

  • Surgery

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Outcome of osteoplastic laminotomy for excision of spinal cord tumours. / Matsumoto, Yoshihiro; Harimaya, Katsumi; Doi, Toshio; Maeda, Takeshi; Iwamoto, Yukihide.

In: Journal of orthopaedic surgery (Hong Kong), Vol. 17, No. 3, 01.01.2009, p. 275-279.

Research output: Contribution to journalArticle

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