Long-term Follow-up Results of Reconstructive Laminoplasty With L-shaped Leibinger Mini-plate for Posterior Approach in the Treatment of Intraspinal Tumor Surgery

• Published in: World neurosurgery Vol. 171; pp. e382 - e390
• Main Authors: Lee, Sungjoon, Min, Sunghoon, Han, Junghoon, Kim, Eun Sang, Lee, Sun-Ho
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.03.2023
• Subjects: Central Nervous System Neoplasms - surgery; Cervical Vertebrae - surgery; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Infant; Laminectomy - methods; Laminoplasty; Laminoplasty - methods; Male; Meningeal Neoplasms - surgery; Mini-plate; Retrospective Studies; Spinal cord neoplasms; Spinal Neoplasms - surgery; Spine; Surgery; Treatment Outcome; Treatment outcome; CT; IDEM; Spinal cord neoplasms; Spine; MRI; Surgery; CSF; Laminoplasty; Mini-plate
• ISSN: 1878-8750; 1878-8769; 1878-8769
• DOI: 10.1016/j.wneu.2022.12.029

Laminoplasty using mini-plates is one of the most common surgical techniques in surgery for intraspinal pathologies. However, limited are present in the literature. The aim of this study was to determine its long-term clinical and radiologic outcome, specifically using an L-shaped mini-plate. Patients who underwent surgery for spinal intradural pathology from January 2008 to December 2019 were retrospectively reviewed. Those who received laminoplasty using the Leibinger mini-plate and were followed for more than 2 years were included. Patient demographics and clinical and radiographic data were reviewed and analyzed. A total of 117 patients (male:female = 47:70; mean age 50.9 years, range 16–92 years) were included, and mean follow-up period was 50.3 months (range 24–151 months). The most common pathology was schwannoma (n = 66, 56.4%) followed by meningioma (n = 30, 25.6%). Gross total resection was achieved in 82.9% (n = 97). Clinical outcomes at last follow-up were mostly good and excellent (n = 95, 81.2%). Computed tomography at the postoperative 1-year follow-up were available in 32 patients (27.4%) and the overall fusion rate was 89.3% (50 of 56 laminae). The fusion rate was significantly lower in the cervical spine compared to other locations (50% vs. thoracic [100%], lumbar [85.7%], P < 0.002). No displacement of laminae or postoperative spinal deformity were observed throughout the follow-up. Laminoplasty using L-shape Leibinger mini-plates had an 89.3% fusion rate, and no displacement of the re-attached laminae was observed. We think it is a safe and feasible option in surgeries for intraspinal pathologies.