Anterior decompression and fusion for ossification of the posterior longitudinal ligament of the upper thoracic spine causing myelopathy: using the manubrium splitting approach

Spinal Cord
Y FujimuraN Suzuki

Abstract

The effectiveness and problems associated with the operation of anterior decompression and fusion using the manubrium splitting approach for thoracic myelopathy due to ossification of the posterior longitudinal ligament (OPLL) of the upper thoracic spine carried out in nine patients was investigated. They were followed up for 1 year or more following the operation. The severity of the thoracic myelopathy was evaluated using the Japanese Orthopaedic Association score, and the surgical outcome was evaluated using recovery rates. This study includes investigation of the surgical outcome and of any postoperative complications, and radiographic observation of bony union and the progression of OPLL within the area of the anterior decompression. The caudal limit of the anterior decompression achieved by splitting the manubrium was the T3 vertebral body. A recovery rate of 71% was achieved during an average follow-up period of 35 months. Only one transient recurrent nerve palsy, and in another patient cerebrospinal fluid leakage occurred as postoperative complications. Radiographic examinations confirmed bony union in all of the patients, and there was no instance of spinal canal stenosis caused by progression of the OPLL within the ar...Continue Reading

Citations

Jun 27, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ryoji YamasakiTakenori Oda
Jun 2, 2005·Spine·Kishore MulpuriStephen J Tredwell
Feb 5, 2009·Journal of Spinal Disorders & Techniques·Norio KawaharaKatsuro Tomita
Sep 2, 2011·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Motoki SakurabaKenji Suzuki
Mar 3, 2011·Neurosurgical Focus·Jamal McClendonJohn C Liu
Jan 18, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ali A BaajJuan S Uribe
Jul 18, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jia LiuYujing Tang
Aug 2, 2017·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Yoshiharu KawaguchiTomoatsu Kimura

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