Document Detail

Surgical management of cervical ossification of the posterior longitudinal ligament: natural history and the role of surgical decompression and stabilization.
MedLine Citation:
PMID:  21434819     Owner:  NLM     Status:  In-Data-Review    
Object Ossification of the posterior longitudinal ligament (OPLL) is a complex multifactorial disease process combining both metabolic and biomechanical factors. The role for surgical intervention and choice of anterior or posterior approach is controversial. The object of this study was to review the literature and present a single-institution experience with surgical intervention for OPLL. Methods The authors performed a retrospective review of their institutional experience with surgical intervention for cervical OPLL. They also reviewed the English-language literature regarding the epidemiology, pathophysiology, natural history, and surgical intervention for OPLL. Results Review of the literature suggests an improved benefit for anterior decompression and stabilization or posterior decompression and stabilization compared with posterior decompression via laminectomy or laminoplasty. Both anterior and posterior approaches are safe and effective means of decompression of cervical stenosis in the setting of OPLL. Conclusions Anterior cervical decompression and reconstruction is a safe and appropriate treatment for cervical spondylitic myelopathy in the setting of OPLL. For patients with maintained cervical lordosis, posterior cervical decompression and stabilization is advocated. The use of laminectomy or laminoplasty is indicated in patients with preserved cervical lordosis and less than 60% of the spinal canal occupied by calcified ligament in a "hill-shaped" contour.
Patrick A Sugrue; Jamal McClendon; Ryan J Halpin; John C Liu; Tyler R Koski; Aruna Ganju
Related Documents :
11733899 - Results of bowel plication in addition to primary anastomosis in patients with jejunal ...
6784259 - Surgical problems of diverticula of the small intestine.
6637729 - Real-time ultrasonography in the diagnosis of intussusception.
6806899 - Home parenteral nutrition: the first twelve months.
7403989 - Extensive gangrene of the bowel after haemorrhagic shock: a case report.
17324769 - First report of the international serial transverse enteroplasty data registry: indicat...
22052039 - The outcome of initial percutaneous drainage versus surgical drainage for intra-abdomin...
16329079 - Early specialist repair of biliary injury.
9602009 - Splenic artery embolization before laparoscopic splenectomy. an update.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgical focus     Volume:  30     ISSN:  1092-0684     ISO Abbreviation:  Neurosurg Focus     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896471     Medline TA:  Neurosurg Focus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E3     Citation Subset:  IM    
Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Conservative management of ossification of the posterior longitudinal ligament.
Next Document:  Ossification of the posterior longitudinal ligament in non-Asians: demographic, clinical, and radiog...