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Advances in Orthopedics
Volume 2011 (2011), Article ID 241729, 4 pages
http://dx.doi.org/10.4061/2011/241729
Review Article

Cervical Laminoplasty for Multilevel Cervical Myelopathy

Department of Orthopaedics, Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland

Received 27 March 2011; Revised 26 June 2011; Accepted 16 July 2011

Academic Editor: Allen L. Carl

Copyright © 2011 Murali Krishna Sayana et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cervical spondylotic myelopathy can result from degenerative cervical spondylosis, herniated disk material, osteophytes, redundant ligamentum flavum, or ossification of the posterior longitudinal ligament. Surgical intervention for multi-level myelopathy aims to decompress the spinal cord and maintain stability of the cervical spine. Laminoplasty was major surgical advancement as laminectomy resulted in kyphosis and unsatisfactory outcomes. Hirabayashi popularised the expansive open door laminoplasty which was later modified several surgeons. Laminoplasty has changed the way surgeons approach multilevel cervical spondylotic myelopathy.