Document Detail


Anterior decompressive surgery for cervical ossified posterior longitudinal ligament causing myeloradiculopathy.
MedLine Citation:
PMID:  7715948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper reviews 88 patients (74 males and 14 females) who underwent anterior decompression and fusion for symptomatic ossified posterior longitudinal ligament of the cervical spine. Follow up averaged 8.5 years. Eighteen patients underwent one-vertebra, 59 two-vertebra, and 11 three-vertebra decompression with interbody fusion. The preoperative severity of symptoms significantly affected neurological recovery. Patients with three-vertebra spondylectomy showed significantly little neurological improvement. The return of patients to their previous activities as monitored at follow up was related to their preoperative neurological status. MRI findings appeared to be relevant to neurological recovery. Our findings suggest that anterior decompression is to be recommended for patients with less advanced preoperative symptoms and the involvement of one or two vertebrae.
Authors:
H Baba; N Furusawa; Q Chen; S Imura; K Tomita
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Paraplegia     Volume:  33     ISSN:  0031-1758     ISO Abbreviation:  Paraplegia     Publication Date:  1995 Jan 
Date Detail:
Created Date:  1995-05-16     Completed Date:  1995-05-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985038R     Medline TA:  Paraplegia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  18-24     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Fukui Medical School, Japan.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adult
Aged
Female
Humans
Longitudinal Ligaments / radiography,  surgery*
Magnetic Resonance Imaging
Male
Middle Aged
Neck / innervation*
Nervous System / physiopathology
Ossification, Heterotopic / complications*,  diagnosis,  surgery*
Peripheral Nervous System Diseases / etiology,  physiopathology
Spinal Cord Diseases / etiology*,  physiopathology
Spinal Fusion
Spinal Nerve Roots*
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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