NDLI: Anterior corpectomy and fusion for severe ossification of posterior longitudinal ligament in the cervical spine.

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Anterior corpectomy and fusion for severe ossification of posterior longitudinal ligament in the cervical spine.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Chen, Yu Chen, Deyu Wang, Xinwei Lu, Xuhai Guo, Yongfei He, Zhimin Tian, Haijun
Spatial Coverage	China
Description	Country affiliation: China Author Affiliation: Chen Y ( Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai, China.)
Abstract	Between May 2002 and October 2006, 19 patients (17 men and 2 women; average age 57.2; range 47-71 years) received anterior corpectomy and fusion for severe ossification of the posterior longitudinal ligament (OPLL) in our department. Preoperative radiological evaluation showed the narrowing by the OPLL exceeded 50% in all cases, and OPLL extended from one to three vertebrae. We followed-up all patients for 12-36 months (mean 18 months). The Japanese Orthopaedic Association (JOA) score before surgery was 9.3 +/- 1.8 (range 5-12) which significantly increased to 14.2 +/- 1.3 (range 11-16) points at the last follow-up (P < 0.01). The improvement rate (IR) of neurological function ranged from 22.2-87.5%, with a mean of 63.2% +/- 15.2%. The operation also provided a significant increase in the cervical lordosis and the cord flatting rate (P < 0.01). No severe neurological complication developed. We therefore concluded that anterior decompression and fusion was effective and safe in the treatment of the selected patients, although OPLL exceeded 50% diameter of the spinal canal.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
DOI	10.1007/s00264-008-0542-y
Journal	International Orthopaedics
Issue Number	2
Volume Number	33
Language	English
Publisher	Springer
Publisher Date	2009-04-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Cervical Vertebrae Surgery Decompression, Surgical Ossification Of Posterior Longitudinal Ligament Spinal Fusion Cohort Studies Magnetic Resonance Imaging Muscle Strength Physiology Pain Measurement Patient Selection Postoperative Complications Physiopathology Preoperative Care Probability Range Of Motion, Articular Recovery Of Function Retrospective Studies Risk Assessment Severity Of Illness Index Tomography, X-ray Computed Comparative Study
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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