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Titolo:
Long-term follow-up results of anterior interbody fusion applied for cervical myelopathy due to ossification of the posterior longitudinal ligament
Autore:
Onari, K; Akiyama, N; Kondo, S; Toguchi, A; Mihara, H; Tsuchiya, T;
Indirizzi:
Yokohama Minami Kyosai Hosp, Dept Orthoped Surg, Kanagawa 2360032, Japan Yokohama Minami Kyosai Hosp Kanagawa Japan 2360032 nagawa 2360032, Japan
Titolo Testata:
SPINE
fascicolo: 5, volume: 26, anno: 2001,
pagine: 488 - 493
SICI:
0362-2436(20010301)26:5<488:LFROAI>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Keywords:
anterior interbody fusion; cervical spine; myelopathy; ossification of the posterior longitudinal ligament;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Onari, K Yokohama Minami Kyosai Hosp, Dept Orthoped Surg, 500 Mutsuura Kanazawa, Kanagawa 2360032, Japan Yokohama Minami Kyosai Hosp 500 Mutsuura Kanazawa Kanagawa Japan 2360032
Citazione:
K. Onari et al., "Long-term follow-up results of anterior interbody fusion applied for cervical myelopathy due to ossification of the posterior longitudinal ligament", SPINE, 26(5), 2001, pp. 488-493

Abstract

Study Design. A long-term follow-up study was carried out in 30 patients who underwent anterior interbody fusion for cervical myelopathy associated with ossification of the posterior longitudinal ligament (OPLL). Objective. To investigate whether anterior interbody fusion without decompression is an appropriate surgical method for long-term relief of cervical OPLL myelopathy. Summary of Background Data. Several studies of operative results after posterior decompression for cervical myelopathy due to ossification of the posterior longitudinal ligament have been reported. There has been no report about anterior interbody fusion without decompression. The postoperative results of this treatment method applied in cervical OPLL myelopathy have beenevaluated by the authors of the present study for more than 10 years. No reports on such a long-term follow-up study have been published in the literature. Methods. Thirty patients who underwent anterior interbody fusion for cervical OPLL myelopathy were evaluated clinically and radiographically. The mean follow-up period was 14.7 years (range, 10-23 years). Results. Clinical results were evaluated according to Okamoto's classification. At the time of the final follow-up evaluation, 16 patients had improved in functional score by two grades, and their surgical results were regarded as excellent; eight patients improved by one grade, and their clinical outcomes were regarded as good; five patients showed no change; and the condition of one patient deteriorated. As for radiographic analysis, the type of ossification had changed in four cases. Ossification width and thicknessincreased in 26 patients. Postoperative alignment of the cervical spine showed kyphosis in three patients, straight spine in 11 patients, and lordosis in 16 patients. Conclusion. Anterior interbody fusion without decompression is an effective treatment for cervical OPLL myelopathy that resulted in stable long-lasting conditions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 01:32:27