+1 (629)348-3199Mini Open Spinous Process splitting Laminectomy for Cervical Spondylotic Myelopathy
Joint Event on 3rd International Conference on Spine and Spine Disorders & International Conference on Addiction Research and Therapy
November 26-27, 2018 | Dubai, UAE
Hatem Hamdy and Ahmad Fouad Abdelbaki Allam
One Day Surgery Hospital, Egypt Minia University, Egypt
Posters & Accepted Abstracts : J Neurol Neurorehabil Res
Abstract:
Background Data: Muscle dissection associated with posterior
approaches to the Cervical Spine usually results in local pain,
muscle wasting and temporarily restricted neck movement. Use
of muscle sparing Spinous Process Splitting Approach for Cervical
Laminectomy allows decompression of the spinal cord and
neural foramen if needed, it does not require instrumentation
and fusion and it preserve Cervical Spine stability.
Purpose: To assess the effectiveness of Spinous Process
Splitting Approach for Cervical Laminectomy in Cervical
Spondylotic Myelopathy.
Study Design: Prospective study.
Patient Sample: Fifteen patients with Cervical Spondylotic
Myelopathy; the study included 11 males and 4 females; the
mean age at surgery was 66.4±6.6 (range 44-71) years.
Outcome Measures: Operative time and blood loss were
recorded. Clinical outcome was assessed by the JOA score
and VAS. MRI was done 6 months postoperative to assess
decompression. Spinal stability and curvature index were
assessed on plain cervical radiographs.
Patients and Methods: Fifteen patients underwent muscle
Sparing Spinous Process Splitting Cervical Laminectomy.
Results: No case of wound dehiscence was recorded. There
was significant improvement of JOA scores and Brachialgia
VAS scores at 6 months, the mean JOA recovery rate was
56.2%. No patient had postoperative Kyphosis or instability
and 66.6% of patients had improved modified Ishihara Cervical
Curvature Index. No neurological deterioration was recorded
in the follow-up. No patient had newly developed axial pain.
MRI revealed adequate decompression of the spinal cord.
Conclusion: The Spinous Process Splitting Laminectomy
allows good spinal cord decompression and preserves Cervical
Spine stability. The mini open approach and preservation of
interspinous ligaments could play a role in wound dehiscence
prevention.
Biography:
Hatem Hamdy has completed his MBBCH from Kasr Elieny Medical School in 1995. He has acquired his Master degree of Orthopedics in 2007. He completed European Spine Diploma at France in 2016. He has done Fellowship at Nanoori Hospital at Korea in 2016. At present he is Orthopedic and Spine Consultant and Head of Spine unit at One Day Surgery Hospital, Egypt.
E-mail: dr.hatemhamdy00@yahoo.com
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