TITLE

Extensive laminectomy for the treatment of ossification of the posterior longitudinal ligament in the cervical spine

AUTHOR(S)
Zhao, Xiaotao; Xue, Yuan; Pan, Feilong; Zhao, Huajian; Li, Peng; Wang, Pei; Ma, Xinlong
PUB. DATE
February 2012
SOURCE
Archives of Orthopaedic & Trauma Surgery;Feb2012, Vol. 132 Issue 2, p203
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: To introduce the surgical strategy of extensive laminectomy (with inner 1/4 facet joint resection to expose the origin of the nerve root) and to discuss its benefit for the treatment of cervical ossification of the posterior longitudinal ligament (OPLL) with myelopathy. Methods: From January 1998 to December 2005, 82 patients with cervical OPLL underwent extensive laminectomy. We assessed neurological function using the Japanese Orthopedic Association (JOA) scoring system, neck/shoulder pain using a visual analogue scale (VAS), and cervical curvature index (CCI) by the Ishihara method; the expansion degree and the drift-back distance of the spinal cord was calculated using the MRI image. Results: The mean duration of follow-up was 41.6 months. The postoperative JOA score suggested that neurological function improved significantly with a recovery rate of 64%. The incidence rate of transient palsy of the C5 nerve root, which occurred in only 2 patients who recovered to useful function over 2 weeks, was 2.4%. The postoperative VAS score suggested that the pain in the neck/shoulder was mild. Although the postoperative CCI was small, there was no correlation with the length of follow-up period. The increased cross-sectional area of the dural sac at the level of maximum compression together with the significant drift-back distance of the spinal cord suggested that decompression was complete. Conclusion: Extensive laminectomy is effective in treating cervical OPLL, with mild cervical/shoulder pain, low rate of C5 nerve root palsy, and no recurrence of spinal cord compression symptoms.
ACCESSION #
70383352

 

Related Articles

  • Cervical spine stenosis due to ossification of the posterior longitudinal ligament in Italian patients: surgical treatment and outcome. Maiuri, F.; Iaconetta, G.; Gambardella, A.; Buonamassa, S. // Archives of Orthopaedic & Trauma Surgery;Jul2000, Vol. 120 Issue 7/8, p441 

    Ossification of the posterior longitudinal ligament (OPLL) of the cervical spine is a frequent pathological entity in people of Japanese and Asian extraction and is reported with increasing frequency also in the USA; on the contrary, reports in the European and particularly in the Italian...

  • Multisegmental cervical ossification of the posterior longitudinal ligament: Anterior vs posterior approach. Jam, Subodh K.; Salunke, Pravin S.; Vyas, K. H.; Behari, Sanjay S.; Banerji, Deepu; Jain, Vijendra K. // Neurology India;Sep2005, Vol. 53 Issue 3, p283 

    Aims: To determine the surgical approach in patients with multisegmental (four or more segments) OPLL of the cervical spine. Methods and Materials: Data of 27 patients who had undergone either an anterior (corpectomy with excision of OPLL and interbody fusion=14 patients) or posterior approach...

  • Invited Comments. Bartels, Ronald H. M. A. // Neurology India;Sep2005, Vol. 53 Issue 3, p286 

    The article presents the author's comments on the article "Multisegmental Cervical Ossification of the Posterior Longitudinal Ligament: Anterior vs Posterior Approach," by Subodh K. Jain, Pravin S. Salunke, K.H. Vyas, Sanjay S. Behari, Deepu Banerji and Vijendra K. Jain, published in the...

  • Box-Shape Cervical Expansive Laminoplasty: Clinical and Radiological Outcomes. Hae Gi Park; Ho Yeol Zhang; Sang Hoon Lee // Korean Journal of Spine;2014, Vol. 11 Issue 3, p152 

    Objective: Box-shape cervical expansive laminoplasty is a procedure that utilizes a Miniplate® or Maxpacer® to achieve maximal canal expansion. This method is expected to show much larger canal expansion and good clinical outcome. So we investigated the clinical and radiological outcome of...

  • Surgery for dural ossification in association with cervical ossification of the posterior longitudinal ligament via an anterior approach. Mizuno, Junichi; Nakagawa, Hiroshi; Joonsuk Song; Naoki Matsuo; Song, Joonsuk; Matsuo, Naoki // Neurology India;Sep2005, Vol. 53 Issue 3, p354 

    Study Design: Direct removal of an ossified mass via an anterior approach carries good decompression, to one- or two-level ossification of the posterior longitudinal ligament (OPLL) of the cervical spine. Ossification occasionally involves not only the posterior longitudinal...

  • Median Cervical Corpectomy for Cervical Myelopathy Associated with Ossified Posterior Longitudinal Ligament. Hossam, Mohamed; Shabaan, Mohammed; Rabea, Mostafa Abd Elsamea // Trends in Medical Research;2013, Vol. 8 Issue 1, p1 

    Ossification of the Posterior Longitudinal Ligament (OPLL), is associated with various degree of neurological deficit. Anterior approach allows direct removal of ossified posterior longitudinal ligament through corpectomy and allows sufficient decompression of the spinal cord. The aim of the...

  • Efficacy of Modified Expansive Open-Door Laminoplasty for Cervical Myelopathy. Toh, Eiren; Yamamoto, Yukihiro; Sakai, Daisuke; Sato, Masato; Watanabe, Masahiko; Mochida, Joji // Surgical Science;Dec2012, Vol. 3 Issue 12, p568 

    Objectives: Expansive open-door laminoplasty is used widely for the treatment of cervical spondylosis and Ossification of the Posterior Longitudinal Ligament (OPLL). We have developed a unique modification of the surgical procedure to keep the lamina expanded, with the aim of preventing...

  • Cervical surgery for ossification of the posterior longitudinal ligament: One spine surgeon's perspective. Epstein, Nancy E. // Surgical Neurology International;Apr2014, Vol. 5 Issue 4, pS88 

    Background: The selection, neurodiagnostic evaluation, and surgical management of patients with cervical ossification of the posterior longitudinal ligament (OPLL) remain controversial. Whether for prophylaxis or treatment, the decision to perform anterior vs. posterior vs. circumferential...

  • Interobserver and intraobserver reliability of the classification and diagnosis for ossification of the posterior longitudinal ligament of the cervical spine. Kudo, Hitoshi; Yokoyama, Toru; Tsushima, Eiki; Ono, Atsushi; Numasawa, Takuya; Wada, Kanichiro; Tanaka, Sunao; Toh, Satoshi // European Spine Journal;Jan2013, Vol. 22 Issue 1, p205 

    Purpose: Ossification of the posterior longitudinal ligament (OPLL) of the cervical spine has been classified into four types by lateral plain radiographs, but the reliability of the classification and of the diagnosis of either cervical OPLL or cervical spondylotic myelopathy (CSM) was unknown....

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics