Multilevel subtotal corpectomy and interbody fusion using a fibular bone graft for cervical myelopathy due to ossification of the posterior longitudinal ligament

A retrospective study of the outcomes of multilevel anterior decompression and interbody fusion for cervical myelopathy due to ossification of the posterior longitudinal ligament (OPLL) was performed to both investigate the long-term results and assess the cause of late deterioration. Twenty-seven p...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical neuroscience 2003-03, Vol.10 (2), p.199-207
Main Authors: Tateiwa, Yutaka, Kamimura, Mikio, Itoh, Hidehiro, Kinoshita, Tetsuya, Yuzawa, Yohei, Takaoka, Kunio, Ohtsuka, Kuniyoshi
Format: Article
Language:English
Subjects:
Adult
Aged
anterior decompression
Biological and medical sciences
Bone Transplantation
cervical myelopathy
Cervical Vertebrae - surgery
Decompression, Surgical
Diseases of the osteoarticular system
Diseases of the spine
Female
Follow-Up Studies
Humans
Laminectomy
long-term results
Male
Medical sciences
Middle Aged
ossification
Ossification of Posterior Longitudinal Ligament - complications
posterior longitudinal ligament
Retrospective Studies
Spinal Cord Diseases - etiology
Spinal Cord Diseases - surgery
Spinal Fusion
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A retrospective study of the outcomes of multilevel anterior decompression and interbody fusion for cervical myelopathy due to ossification of the posterior longitudinal ligament (OPLL) was performed to both investigate the long-term results and assess the cause of late deterioration. Twenty-seven patients (mean age, 58.1 years) underwent this procedure and were followed for at least 5 years. The severity of the clinical symptoms was described using the scoring system for cervical myelopathy proposed by the Japanese Orthopaedic Association (JOA score). The average preoperative JOA score was 7.7, and the score at final follow-up was 13.4 with a recovery rate of 62.0%. A delayed deterioration was attributed to a thoracolumbar lesion other than a compromising alteration of the cervical spine. Consequently, this method of treatment for OPLL could stop the progress of ossification and keep a physiological cervical alignment and thus provide good long-term results.
ISSN:0967-5868
1532-2653
DOI:10.1016/S0967-5868(02)00318-1