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Neck weakness after laminectomy

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Hello group,

Regarding recent discussion about post-op neck instability, while

researching my followup paper I came across an article describing the

problem and I touch on this problem briefly:

" Certainly other studies have reported less than complete success with the

classic posterior fossa decompression. Aronson and Kahn reported that 19

out of 20 patients in whom a sub-occipital craniectomy and laminectomy (for

treatment of ACM) had been done had significant instability of the cervical

spine. " (AronsonD.D., Kahn R.H., et al, American Journal of Bone and Joint

Surgery, Jul 1991:73(6) 898-906 "

There are other articles that touch upon this briefly as well.

Hopefully this summer we will get the follow-up article onto the webpage.

I am working on putting together a study that looks at the development of

cervical instability or basilar impression after laminectomy for

chiari...there seems to be a lot of this so-called secondary skull base

instability developing within a few years of laminectomy.

My chiari problems ended up developing into neck stability problems and I

often wonder just how many others have this problem.

Just thinking out loud

Darlene Long

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