雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Surgical Treatment for Ossification of the Posterior Longitudinal Ligament of the Cervical Spine Toyohiko ISU 1 , Shoji MABUCHI 1 , Satoshi MINOSHIMA 1 , Naoki NAKAYAMA 1 1Department of Neurosurgery, Kushiro Rousai Hospital Keyword: Cervical OPLL , Anterior cervical fusion , Anterior decompression , Laminectomy , Laminoptasty pp.839-844
Published Date 1994/9/10
DOI https://doi.org/10.11477/mf.1436900902
  • Abstract
  • Look Inside

The surgical results in 37 patients with cervical myelopathy due to ossification of the posterior longitu-dinal ligament of the cervical spine were described. This series consisted of 32 patients who underwent anterior decompression with anterior cervical fusion us-ing bone grafts obtained from cervical vertebral bodies, and 5 patients who underwent expansive laminoplasty or laminectomy as a method of posterior decompres-sion. 6 out of 32 patients with anterior cervical fusion were operated on at one level, 18 at two levels and 8 at three levels. The patients were out of bed within two days and treated using a soft collar for 3 months. In all patients, the symptoms improved postoperatively. Post-operative X-ray films showed solid bone fusion in all patients with anterior cervical fusion at a mean follow up time of one year and nine months (range 6 months to 3 years 6 months). Anterior angulation was found in one (3%) out of 32 patients who underwent anterior cervical fusion. Concerning the method of operation, the authors think that anterior decompression is to be recommended for cases with ossification within three consecutive vertebrae and posterior decompression should be applied to cases in which anterior decom-pression is very difficult. If necessary, a two-stage com-bined decompression is recommended.


Copyright © 1994, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有