D
Patient 1
THIS REPORT IS BEING FILED AFTER THE SUBSEQUENT REVIEW OF THE FOLLOWING LITERATURE ARTICLE: ZHOU, D., & ET AL. APPLICATION OF LAMINA REPLANTATION WITH ARCH PLATE FIXATION IN THORACIC AND LUMBAR INTRASPINAL TUMORS. EXPERIMENTAL AND THERAPEUTIC MEDICINE 6: 596-600. THE GOAL OF THIS STUDY WAS TO INVESTIGATE THE CLINICAL EFFECTS OF LAMINA REPLANTATION WITH ARCH (SYNTHES) PLATE FIXATION ON PATIENTS WITH THORACIC AND LUMBAR INTRASPINAL TUMORS, FOLLOWING LAMINECTOMY. THIRTEEN PATIENTS WITH THORACIC AND LUMBAR INTRASPINAL TUMORS UNDERWENT TOTAL LAMINA REPLANTATION WITH ARCH PLATE FIXATION AND REPAIR OF THE SUPRASPINOUS LIGAMENTS, FOLLOWING LAMINECTOMY AND TUMOR ENUCLEATION. THERE WERE 8 FEMALES AND 5 MALES WITH AN AGE RANGE OF 28 TO 52 YEARS. TO INVESTIGATE THE CLINICAL EFFECT OF LAMINA REPLANTATION WITH ARCH PLATE FIXATION, PRE AND POSTOPERATIVE VISUAL ANALOG SCALE (VAS), AND OSWESTRY DISABILITY INDEX (ODI) SCORES WERE DETERMINED, AND PRE AND POSTOPERATIVE X-RAY AND MAGNETIC RESONANCE IMAGING (MRI) EXAMINATIONS WERE CONDUCTED. COMPUTED TOMOGRAPHY (CT) EXAMINATIONS WERE ALSO INCLUDED IN THE FOLLOW UP. THE VAS AND ODI RESULTS 2 WEEKS FOLLOWING SURGERY AND AT THE FINAL FOLLOW UP EXAMINATION DEMONSTRATED A SIGNIFICANT IMPROVEMENT COMPARED WITH THE CORRESPONDING PREOPERATIVE RESULTS. THE X-RAY EXAMINATION RESULTS INDICATED A SATISFACTORY INTERNAL FIXATION LOCATION, WITHOUT ANY CHARACTERISTICS OF A FRACTURE, LUMBAR SCOLIOSIS, KYPHOSIS OR INSTABILITY. FOLLOWING THE SURGERY, THE CT AND MRI EXAMINATION RESULTS DEMONSTRATED THAT HEALING OF THE LAMINA BONE AND REPAIR OF THE SUPRASPINOUS LIGAMENT HAD OCCURRED WITHOUT TUMOR RECURRENCE OR SPINAL EPIDURAL SCAR RECOMPRESSION. ONE PATIENT DEVELOPED POSTOPERATIVE CEREBRAL SPINAL FLUID LEAKAGE AND SPONTANEOUSLY RECOVERED FOLLOWING CONSERVATIVE TREATMENT. TWO OF THE 13 CASES WERE LOST TO FOLLOW-UP. THE RESULTS INDICATED THAT IN PATIENTS WITH THORACIC AND LUMBAR INTRASPINAL TUMORS, LAMINA REPLANTATION WITH ARCH PLATE FIXATION FOLLOWING TOTAL LAMINECTOMY IS EFFECTIVE AND PROVIDES THORACOLUMBAR STABILITY. THIS REPORT IS FOR AN UNKNOWN ARCH SYSTEM CONCERNING ONE PATIENT WITH A CEREBRAL SPINAL FLUID LEAK. THIS IS REPORT 1 OF 1 FOR (B)(4).