ANTERIOR DECOMPRESSION AND FUSION FOR OSSIFICATION OF POSTERIOR LONGITUDINAL LIGAMENT IN THE THORACIC SPINE

被引:28
作者
IDO, K
SHIMIZU, K
NAKAYAMA, Y
YAMAMURO, T
SHIKATA, J
MATSUSHITA, M
NAKAMURA, T
机构
[1] Departments of Orthopaedic Surgery, Kyoto University, Kyoto
[2] Kyoto Municipal Hospital, Kyoto
[3] Wakayama Red Cross Hospital, Kyoto
来源
JOURNAL OF SPINAL DISORDERS | 1995年 / 8卷 / 04期
关键词
OSSIFICATION OF POSTERIOR LONGITUDINAL LIGAMENT; THORACIC SPINE; ANTERIOR DECOMPRESSION; FUSION;
D O I
10.1097/00002517-199508040-00010
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Twelve cases are reviewed of ossification of posterior longitudinal ligament (OPLL) in the thoracic spine for which anterior decompression and fusion were performed. A transthoracic approach was used in 10 patients, and median sternotomy and a transsternal approach were used in one each, The clinical symptoms and the Japanese Orthopaedic Association (JOA) score improved in 10 patients, whereas they were unchanged in two patients who underwent a revision operation for a previous laminectomy, An anterior procedure that results in adequate decompression of the spinal cord and good spinal stability is recommended for anterior lesions, such as OPLL, which compress the anterior spinal cord at each level of the thoracic spine.
引用
收藏
页码:317 / 323
页数:7
相关论文
共 15 条
[1]
Cauchoix J., Binet J.P., Anterior surgical approaches to spine, Ann R Collsurg Engl, 21, pp. 237-243, (1957)
[2]
Dohn D.F., Thoracic spinal cord decompression: Alternative surgical approaches and basis of choice, Clin Neurosurg, 27, pp. 611-623, (1980)
[3]
Hanai K., Inoue Y., Kawai K., Tago K., Itoh Y., Anterior decom-pression for myelopathy resulting from ossification of the pos-terior longitudinal ligament, J Bone Joint Surg [Br], 64, pp. 561-564, (1982)
[4]
Hanakita J., Suvva H., Nagayasu S., Nishi S., Ohta F., Sakaida H., Clinical analysis of ossified thoracic ligaments and thoracic disc hernia [in Japanese], Neurol Med Chir (Tokyo), 31, pp. 936-942, (1991)
[5]
Kaneda K., Sato E., Higuchi M., Et al., Thoracic spinal canal stenosis due to ossification of the spinal canal ligaments [in Jap-anese], Clin Orthop Surg, 16, pp. 63-74, (1981)
[6]
Micheli L.I., Hood R.W., Anterior exposure of the cervicothoracic spine using a combined cervical and thoracic approach, J Bone Joint Surg [Am], 65, pp. 992-997, (1983)
[7]
Ohtsuka K., Terayama K., Wada K., Kinoshita H., Takahashi S., Murata S., The results of surgical treatment for thoracic myelopathy due to ossification of the posterior longitudinal ligament—anterior decompression of the thoracic cord through the posterior approach [in Japanese], Clin Orthop Surg, 23, pp. 467-472, (1988)
[8]
Patterson R.H., Arbit E., A surgical approach through the pedicle to protruded thoracic discs, J Neurosurg, 48, pp. 768-772, (1978)
[9]
Perot P.L., Munro D.D., Transthoracic removal of midline thoracic disc protrusions causing spinal cord compression, J Neurosurg31, pp. 452-458, (1969)
[10]
Stillerman C.B., Weiss M.H., Management of thoracic disc disease, Clin Neurosurg, 38, pp. 325-352, (1992)