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56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

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Multi-level laminoplasty using titanium miniplates : long-term follow-up

Multi-Level-Laminoplastie mit Titan-Miniplättchen im Langzeitverlauf

Meeting Abstract

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  • corresponding author U. M. Mauer - Bundeswehrkrankenhaus Ulm, Abteilung Neurochirurgie, Ulm
  • U. Kunz - Bundeswehrkrankenhaus Ulm, Abteilung Neurochirurgie, Ulm

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc09.05.-12.05

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2005/05dgnc0057.shtml

Published: May 4, 2005

© 2005 Mauer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Objective

A simple laminectomy especially in more levels may result a spinal deformity. Therefore the technique of multi-level laminoplasty is wellknown. We want to report the advantages of using titanium miniplates in these special cases.

Methods

In the last years we used in 12 patients (3 female, 9 male, in average 31 years old, range 8 – 63 years old) titanium miniplates in more than one level laminoplasty, in 9 patients because of tumors (3 neurinomas, 5 ependymomas, 1 ganglioneuroma) and in 3 because of tethered cord with lipoma. The laminoplasty was done in 6 patients in 2 levels, in 4 patients in 3 levels and in 2 in 4 levels.

Results

Average follow-up is 4.5 years (median 4.5, range 4 – 7 years). Most (6 cases) were done in the lumbar spine. Only one was done in the middle thoracic spine. In every case we did CT and MRI-scans after 3 months or/and 6 months. Every cut vertebral arch has refused after 6 months. No plate or screw or arch is dislocated till now. Because of the very low artefacts in MRI a trustful follow-up for tumor relapse could be done.

Conclusions

Laminoplasty with titanium miniplates even in multi-level surgery is, for the whole spine, a useful and safe technique.