{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T12:31:54Z","timestamp":1792672314140,"version":"4.5.0"},"reference-count":40,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"3","license":[{"start":{"date-parts":[[2010,3,1]],"date-time":"2010-03-01T00:00:00Z","timestamp":1267401600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:p>We have reviewed 1858 patients who had undergone a cervical laminoplasty and identified 43 (2.3%) who had developed a C5 palsy with a MMT (MRC) grade of 0 to 2 in the deltoid, with or without involvement of the biceps, but with no loss of muscular strength in any other muscles. The clinical features and radiological findings of patients with (group P; 43 patients) and without (group C; 100 patients) C5 palsy were compared. CT scanning of group P revealed a significant narrowing of the intervertebral foramen of C5 (p &lt; 0.005) and a larger superior articular process (p &lt; 0.05). On MRI, the posterior shift of the spinal cord at C4\u20135 was significantly greater in group P, than in group C (p &lt; 0.01).<\/jats:p>\n                  <jats:p>This study is the first to correlate impairment of the C5 nerve root with a C5 palsy. It may be that early foraminotomy in susceptible individuals and the avoidance of tethering of the cord by excessive laminoplasty may prevent a post-operative palsy of the C5 nerve root.<\/jats:p>","DOI":"10.1302\/0301-620x.92b3.22786","type":"journal-article","created":{"date-parts":[[2010,2,28]],"date-time":"2010-02-28T19:12:33Z","timestamp":1267384353000},"page":"393-400","source":"Crossref","is-referenced-by-count":241,"title":["C5 palsy after cervical laminoplasty"],"prefix":"10.1302","volume":"92-B","author":[{"given":"S.","family":"Imagama","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoyal University Graduate School of Medicine, 65 Turumai, Showa-ku, Nagoya 466-8550, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Matsuyama","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoyal University Graduate School of Medicine, 65 Turumai, Showa-ku, Nagoya 466-8550, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Yukawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Chubu Rosai Hospital, 1-10-6 Koumei, Minato-ku, Nagoya 455-8530, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Kawakami","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Meijo Hospital, 1-3-1 Sannomaru, Naka-ku, Nagoya 460-0001, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kamiya","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Aichi Medical University, 21 Karimata, Iwasaku, Nagakute-cho, Aichi-gun 480-1195, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Kanemura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Konan Kosei Hospital, 46 Nobaku, Nobaku-cho, Konan 483-8202, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Ishiguro","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoyal University Graduate School of Medicine, 65 Turumai, Showa-ku, Nagoya 466-8550, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/79.3.483"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Yu YL.\n                      Management of cervical spondylotic myelopathy. Lancet 1984;12:170\u20131.","DOI":"10.1016\/S0140-6736(84)91089-4"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1007\/BF00314394"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1007\/BF01406291"},{"key":"R5","unstructured":"Laterre C, Stroobandt G.\n                      Changes in clinical signs after decompressive laminectomy in cervical spondylosis with myelopathy. Acta Neurol Belg 1976;76:286\u201390."},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.43B1.3"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198510000-00004"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000250307.78987.6b"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198107000-00005"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Iwasaki M, Kawaguchi Y, Kimura T, Yonenobu K.\n                      Long-term results of expansive laminoplasty for ossification of the posterior longitudinal ligament of the cervical spine: more than 10 years follow up. J Neurosurg 2002;96:180\u20139.","DOI":"10.3171\/spi.2002.96.2.0180"},{"key":"R11","unstructured":"Kurokawa T, Tsuyama N, Tanaka H.\n                      Enlargment of spinal canal by the sagittal splitting of the spinous process. Bessatsu Seikeigeka 1982;2:234\u201340 (in Japanese)."},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200103010-00010"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1961.18.4.0423"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Stoops WL, King RB.\n                      Neural complications of cervical spondylosis: their response to laminectomy and foraminotomy. J Neurosurg 1961;19:986\u201399.","DOI":"10.3171\/jns.1962.19.11.0986"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200210010-00006"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200211150-00014"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000257576.84646.49"},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199601150-00008"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199810010-00004"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200007150-00009"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199111000-00006"},{"key":"R22","unstructured":"Medical Research Council.\n                      Aids to the examination of the peripheral nervous system, memorandum no. 45. London: Her Majesty\u2019s Stationary Office, 1981."},{"key":"R23","unstructured":"No authors listed.\n                      Japanese Orthopaedic Association scoring system for cervical myelopathy. J Jpn Orthop Assoc 1994;68:134\u201347 (in Japanese)."},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Harrison DD, Cailliet R, Janik TJ, et al.\n                      Ellipitical modeling of the sagittal lumbar lordosis and segmental rotation angles as a method to discriminate between normal and low back pain subjects. J Spinal Disord 1998;11:430\u20139.","DOI":"10.1097\/00002517-199810000-00010"},{"key":"R25","unstructured":"Cobb JR.\n                      Outline for the study of scoliosis. Ann Arbor, MI: American Academy of Orthopedic Surgeons, 1948;261\u201375."},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199903010-00009"},{"key":"R27","unstructured":"Sunago K, Nakahara T, Mitsuyama H, Kawai S, Oda H.\n                      Assessment of postoperative cervical nerve root injury in compression cervical myelopathy. Chubu Jpn Orthop Trauma Surg 1991;34:227\u20138 (in Japanese)."},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200011150-00010"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199902000-00005"},{"key":"R30","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199403000-00003"},{"key":"R31","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000090833.96168.3F"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B11.22196"},{"key":"R33","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000244544.65528.d7"},{"key":"R34","doi-asserted-by":"publisher","DOI":"10.1007\/BF00299445"},{"key":"R35","doi-asserted-by":"publisher","DOI":"10.1097\/01.bsd.0000210112.09521.e3"},{"key":"R36","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2004.03.022"},{"key":"R37","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000083237.94535.46"},{"key":"R38","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000250303.17840.96"},{"key":"R39","unstructured":"Homma T, Chiba Y, Hasegawa K, et al.\n                      Spinal cord injury as an etiology of palsy appeared in upper extremities after decompression surgery for cervical myelopathy. Rinsho Seikei Geka 2003;38:389\u201395 (in Japanese)."},{"key":"R40","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200107010-00011"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.92B3.22786","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.92B3.22786","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.92B3.22786","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T13:55:24Z","timestamp":1629122124000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.92B3.22786"}},"subtitle":["A MULTICENTRE STUDY"],"short-title":[],"issued":{"date-parts":[[2010,3]]},"references-count":40,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2010,3]]}},"alternative-id":["10.1302\/0301-620X.92B3.22786"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.92b3.22786","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,3]]}}}