Enlargement of the spinal canal without laminectomy - An autopsied case.:An Autopsied Case

概要

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Enlargement of the cervical spinal canal without laminectomy has been applied to one hundred cases with cervical myelopathy since 1971. A 58-year-old man, operated with this method 11 years ago, visited our clinic with acute paraplegia on Nov. 15, 1982. He died after two weeks and autopsy was performed. Multiple metastases of adenocarcinoma was diagnosed.At the autopsy the cervical spine was also examined. The enlarged spinal canal was still maintained and the laminae were very hard. Histologically, epidural connective tissue was loose compared with dorsal side of the laminae. Through this autopsied case it was confirmed that this operative method was effective for not only sufficient posterior decompression of the cord but also reconstruction of the posterior elements of the cervical spine.
西日本整形・災害外科学会の論文