[Updates of ossification of posterior longitudinal ligament. Clinical results and complication of surgery for thoracic myelopathy due to ossification of posterior longitudinal ligament]

Clin Calcium. 2009 Oct;19(10):1499-504.
[Article in Japanese]

Abstract

We performed 3 types of surgical procedures for thoracic myelopathy due to OPLL : posterior decompression, OPLL-extirpation, and posterior decompression with instrumented fusion (PDF) . A considerable degree of neurological recovery was obtained in all patients who underwent PDF, despite the anterior impingement of the spinal cord by OPLL remaining. In addition, the rate of post-operative complications was extremely low with PDF, when compared with posterior decompression and OPLL-extirpation groups. We recommend that one stage posterior decompression with instrumented fusion be selected for cases in whom the spinal cord is severely damaged pre-operatively.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Decompression, Surgical / methods*
  • Humans
  • Ossification of Posterior Longitudinal Ligament / complications*
  • Ossification of Posterior Longitudinal Ligament / surgery*
  • Postoperative Complications / epidemiology*
  • Severity of Illness Index
  • Spinal Cord Compression / etiology*
  • Spinal Cord Compression / surgery*
  • Spinal Fusion / instrumentation
  • Spinal Fusion / methods*
  • Thoracic Vertebrae
  • Treatment Outcome