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Laminectomy Contributes to Cervical Spine Deformity Demonstrated by Holographic Interferometry

 

作者: Burak Ozgur,   Jeffrey Florman,   Sean Lew,   William Taylor,   Cordell Gross,  

 

期刊: Journal of Spinal Disorders & Techniques  (OVID Available online 2003)
卷期: Volume 16, issue 1  

页码: 51-54

 

ISSN:1536-0652

 

年代: 2003

 

出版商: OVID

 

关键词: Laminectomy;Cervical spine deformity;Holographic interferometry

 

数据来源: OVID

 

摘要:

Multiple factors contribute to the pathogenesis of postlaminectomy deformity and instability of the cervical spine. The complex alterations in both static and dynamic biomechanics after laminectomy are incompletely defined. We sought to examine the role of the lamina in compressive load bearing across the vertebral body. Holographic interferometry was used to study the surface deformation of single axially loaded cervical vertebral bodies before and after hemilaminotomy, hemilaminectomy, and experimental acrylic laminar reconstruction. Our results showed that hemilaminotomy did not alter the surface deformation because of axial loading across the cervical vertebral body. However, gross alterations in surface deformation across the cervical vertebral body were consistently observed after hemilaminectomy. Experimental reconstruction of the laminar arch using acrylic restored the deformation pattern to the prelaminectomized baseline. Our results support a role for the lamina and the integrity of the laminar arch in axial load bearing across the cervical vertebral body. The altered axial load bearing may be a significant contributor to postlaminectomy deformity and instability. These findings offer an additional biomechanical advantage to minimal bony intervention for cervical spine pathology.

 

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