A novel anterior decompression technique (vertebral body sliding osteotomy) for ossification of posterior longitudinal ligament of the cervical spine

The Spine Journal : Official Journal of the North American Spine Society
Dong-Ho LeeChul Gie Hong

Abstract

Conventional anterior decompression surgery for cervical myelopathy, including anterior corpectomy and fusion, is technically demanding and is known to be associated with a higher incidence of surgery-related complications, including cerebrospinal fluid (CSF) leakage, neurologic deterioration, and graft failure compared with posterior surgery. We introduce a novel anterior decompression technique (vertebral body sliding osteotomy [VBSO]) for cervical myelopathy caused by ossification of posterior longitudinal ligament (OPLL) and evaluate the efficacy and safety of this procedure. This is a case series for novel surgical technique. Fourteen patients (M:F=11:3, mean age 56.9±10) with cervical myelopathy caused by OPLL who underwent VBSO by a single surgeon were included. The surgical outcome was evaluated according to the Japanese Orthopaedic Association score for cervical myelopathy (C-JOA score), and the recovery rate of the C-JOA score was calculated. Patients were also evaluated radiographically with plain and dynamic cervical spine radiographs and pre- and postoperative computed tomography images. Fourteen patients were followed up for more than 24 months, and operation time, estimated blood loss, neurologic outcomes, and su...Continue Reading

Citations

Nov 7, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Dong-Ho LeeChul Gie Hong
Oct 28, 2020·Asian Spine Journal·Sung Hoon Choi, Chang-Nam Kang
Mar 29, 2021·The Spine Journal : Official Journal of the North American Spine Society·Dong-Ho LeeChoon Sung Lee

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.