경막내 종양 절제를 위한 제 7경추 후궁성형술 및 재부착술 - 증례 보고 -

Abstract

Study Design : A case report.

Objectives : To report laminoplasty and recapping procedure of C7 for intradural tumor excision

Summary of Literature Review : Various surgical techniques have been attempted to decrease postoperative axial neck pain.

Materials and Methods : Kurokawa laminoplasty of C7 was performed. Autogenous bone graft material was harvested from partial T1 laminectomy. Intradural tumor was removed without any complications. Four mini plates were applied at hinge sites of laminoplasty and one lag screw was fixed at the longitudinally splitted lamina of C7.

Results : Early range of motion without braces was possible following laminoplasty and recapping procedure. Solid union was achieved at the hinge sites of laminoplasty at the 3-month postoperative follow-up. No instability was observed at the 2-year postoperative followup. The visual analog scale of axial neck pain at the 2-year postoperative follow-up was 2.

Conclusions : Laminoplasty and recapping procedure might be a good option for intradural tumor excision to facilitate early range of motion and decrease postoperative axial neck pain.