Document Detail


Minimally invasive central corpectomy for ossified posterior longitudinal ligament in the cervical spine.
MedLine Citation:
PMID:  20888772     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Minimally invasive central corpectomy (MICC) for cervical segmental ossified posterior longitudinal ligament (OPLL) is described. The procedure of MICC includes upper- or lower-half central corpectomy of the involved cervical spine, transdiscal decompression of the adjacent disc level, dissection and partial removal of the OPLL, removal of the OPLL behind the vertebral body via these windows, and fusion with cylindrical titanium cages. Anterior plate fixation is not necessary. From January 2008 to December 2009 we surgically treated three patients with cervical OPLL by MICC. All three patients showed remarkable improvement of their symptoms within a few days after the operation. No neurological or radiological complication was observed during that period. MICC is beneficial in avoiding complete corpectomy and long fusion, usage of an anterior plate, and usage of a large external orthosis. MICC also reduces the risk of postoperative esophageal perforation due to a screw backing out of the plate.
Authors:
Yoshitaka Hirano; Junichi Mizuno; Hiroshi Nakagawa; Yasunobu Itoh; Keiichi Kubota; Sadayoshi Watanabe; Hidenori Matsuoka; Shinichi Numazawa; Masato Tomii; Kazuo Watanabe
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  18     ISSN:  1532-2653     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  131-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Center for Spine and Spinal Cord Disorders, Southern TOHOKU General Hospital, 1-2-5, Satonomori, Iwanuma, Miyagi 989-2483, Japan.
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