PMID- 31053937 OWN - NLM STAT- MEDLINE DCOM- 20200813 LR - 20210208 IS - 1432-0932 (Electronic) IS - 0940-6719 (Linking) VI - 28 IP - 10 DP - 2019 Oct TI - A new method for calculating the desired laminoplasty opening size based on the target sagittal canal diameter before single-door cervical laminoplasty. PG - 2302-2310 LID - 10.1007/s00586-019-05992-5 [doi] AB - PURPOSE: To build a mathematical model which could calculate the desired laminoplasty opening size (LOS) based on the target sagittal canal diameter (SCD) before single-door cervical laminoplasty (SDCL) when taking the effects of surgery drill into consideration. METHODS: The model was based on geometric analysis on deformation of spinal canal; the formula was derived and characterized as: y (mm) = 2 [Formula: see text] x sin(beta/2) = c - d (y is the size of LOS, [Formula: see text] the size of transverse canal diameter, beta the size of laminoplasty opening size, c the size of mini-plate and d the diameter of the drill bit used during the surgery operation). The parameters of pre- and postoperative computed tomography scans of 20 patients who had undergone SDCL were measured by the picture archiving and communication system (PACS) software and a new instrument named as Lei's ruler, respectively. RESULTS: The effects of surgery SDCL were very significant; for each patient, the SCD was enlarged dramatically after the surgery (P < 0.01). The differences between the data obtained by PACS and Lei's ruler were no statistically significant (P > 0.05). According to the derived formula, the 95% confidence intervals of SCD after the surgery were within the range of 14 mm and 14.5 mm. CONCLUSION: Applying the mathematical model and derived formula, the desired LOS could be calculated according to the target SCD which could help the surgeon select an optimum mini-plate before SDCL. At the same time, a new measuring device named Lei's ruler is designed for the convenience of the derived formula. These slides can be retrieved under Electronic Supplementary Material. FAU - Yang, Xiao-Jiang AU - Yang XJ AD - Department of Orthopaedic Surgery, Xijing Hospital, The Air Force Medical University, No. 127 Changlexi Road, Xincheng District, Xi'an, 710032, Shaanxi, China. FAU - Sang, Hong-Xun AU - Sang HX AD - Department of Orthopaedics, Shenzhen Hospital, Southern Medical University, No. 1333, Xinhu Road, Bao'an District, Shenzhen City, 518100, China. FAU - Liu, Chen-Xin AU - Liu CX AD - Department of Orthopaedic Surgery, Xijing Hospital, The Air Force Medical University, No. 127 Changlexi Road, Xincheng District, Xi'an, 710032, Shaanxi, China. FAU - Ma, Zhen-Sheng AU - Ma ZS AD - Department of Orthopaedic Surgery, Xijing Hospital, The Air Force Medical University, No. 127 Changlexi Road, Xincheng District, Xi'an, 710032, Shaanxi, China. FAU - Meng, Bing AU - Meng B AD - Department of Orthopaedic Surgery, Xijing Hospital, The Air Force Medical University, No. 127 Changlexi Road, Xincheng District, Xi'an, 710032, Shaanxi, China. FAU - Li, Tian-Qing AU - Li TQ AD - Department of Orthopaedic Surgery, Xijing Hospital, The Air Force Medical University, No. 127 Changlexi Road, Xincheng District, Xi'an, 710032, Shaanxi, China. FAU - Jiang, Ming-Chun AU - Jiang MC AD - Department of Orthopaedic Surgery, Xijing Hospital, The Air Force Medical University, No. 127 Changlexi Road, Xincheng District, Xi'an, 710032, Shaanxi, China. FAU - Liu, Xiao-Zhong AU - Liu XZ AD - Department of Orthopaedic Surgery, Xijing Hospital, The Air Force Medical University, No. 127 Changlexi Road, Xincheng District, Xi'an, 710032, Shaanxi, China. FAU - Lei, Wei AU - Lei W AD - Department of Orthopaedic Surgery, Xijing Hospital, The Air Force Medical University, No. 127 Changlexi Road, Xincheng District, Xi'an, 710032, Shaanxi, China. FAU - Zhang, Yang AU - Zhang Y AD - Department of Orthopaedic Surgery, Xijing Hospital, The Air Force Medical University, No. 127 Changlexi Road, Xincheng District, Xi'an, 710032, Shaanxi, China. zhangyang@fmmu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190503 PL - Germany TA - Eur Spine J JT - European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society JID - 9301980 SB - IM MH - Adult MH - Aged MH - Cervical Vertebrae/*surgery MH - Female MH - Humans MH - Laminoplasty/*methods MH - Male MH - Middle Aged MH - *Models, Theoretical OTO - NOTNLM OT - Cervical spine OT - Laminoplasty opening size OT - Sagittal canal diameter OT - Single-door cervical laminoplasty EDAT- 2019/05/06 06:00 MHDA- 2020/08/14 06:00 CRDT- 2019/05/05 06:00 PHST- 2018/10/29 00:00 [received] PHST- 2019/04/24 00:00 [accepted] PHST- 2019/03/10 00:00 [revised] PHST- 2019/05/06 06:00 [pubmed] PHST- 2020/08/14 06:00 [medline] PHST- 2019/05/05 06:00 [entrez] AID - 10.1007/s00586-019-05992-5 [pii] AID - 10.1007/s00586-019-05992-5 [doi] PST - ppublish SO - Eur Spine J. 2019 Oct;28(10):2302-2310. doi: 10.1007/s00586-019-05992-5. Epub 2019 May 3.