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the supraspinous ligament was repaired, and there were no complications, such as spinal epidural scar recompression. Laminoplasty combined with ARCH plate was a better surgical method, and 70.8% of the patients showed complete bone fusion and there was no case of bilateral nonunion. Laminoplasty combined with ARCH plate was a better surgical method, and 70.8% of the patients showed complete bone fusion and there was no case of bilateral nonunion. Elevated tumor necrosis factor-α (TNF-α) is correlated with refractory Takayasu arteritis (