LONG-TERM FOLLOW-UP EVALUATION OF SURGERY FOR OSSIFICATION OF THE POSTERIOR LONGITUDINAL LIGAMENT

被引：64

作者：

GOTO, S

KITA, T

机构：

[1] Department of Orthopaedic Surgery, Chiba University School of Medicine, Chiba

来源：

SPINE | 1995年 / 20卷 / 20期

关键词：

Anterior surgery; Cervical myelopathy; Long-term follow -up; Ossification of posterior longitudinal ligament;

D O I：

10.1097/00007632-199510001-00012

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. We compared anterior and posterior surgery for cervical myelopathy resulting from ossification of the posterior longitudinal ligament. Surgical techniques, based on shape and distribution of ossification of the posterior longitudinal ligament, were divided into four technical phases. Objectives. Long-term follow-up data on anterior and posterior surgery were analyzed to establish guidelines for surgical treatment. Summary of Background Data. Comparision of anterior and posterior surgery is difficult because surgical techniques, ossification of the posterior longitudinal ligament shape classification, and surgical criteria varied. No reports have accurately assessed spinal changes over a 10-year follow-up period. Methods. Fifty patients received anterior surgery and 65 received posterior surgery between 1968 and 1993. Assessment after surgery was based on the recovery rate using the scoring system of the Japanese Orthopaedic Association. Spinal changes in the anterior group were assessed radiographically. Results. Recovery and final results improved with phase after anterior, but not posterior, surgery. Neurologic deterioration after initial recovery was lower for ossification of the posterior longitudinal ligament.

引用

页码：2247 / 2256

页数：10

共 26 条

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