Cervical myelopathy secondary to ossification of the posterior longitudinal ligament (a case report)

1984 ◽  
Vol 5 (2) ◽  
pp. 203-207
Author(s):  
M. D'Ettore ◽  
C. Venturi ◽  
C. Paradiso ◽  
F. Moschini ◽  
F. Reale ◽  
...  
2007 ◽  
Vol 65 (2b) ◽  
pp. 532-535 ◽  
Author(s):  
Marcelo Maroco Cruzeiro ◽  
Thiago Cardoso Vale ◽  
Leopoldo Antônio Pires ◽  
Gláucio Mendes Franco ◽  
Molise Fortuna Pennisi

Ossification of the posterior longitudinal ligament (OPLL) is a rare cause of myelopathy in non-Oriental populations and relatively unrecognized by general practitioners. A case of an Afro-Brazilian 54-years-old woman presenting with tetraparesis due to cervical OPLL is presented. Emphasis is made for the inclusion of OPLL in the differential diagnosis of compressive cervical myelopathy.


2014 ◽  
Vol 31 (3) ◽  
pp. 75-82
Author(s):  
Seung Min Lee ◽  
Kang Hyun Yoon ◽  
Ji Seok Lim ◽  
Ye Eun Cho ◽  
Ji Min Park ◽  
...  

1990 ◽  
Vol 39 (1) ◽  
pp. 264-266
Author(s):  
Yutaka Itou ◽  
Shinya Kawai ◽  
Kouzou Sunago ◽  
Minoru Saika ◽  
Tosihiko Taguchi ◽  
...  

Author(s):  
Shunsuke Kanbara ◽  
Kei Ando ◽  
Kazuyoshi Kobayashi ◽  
Hiroaki Nakashima ◽  
Masaaki Machino ◽  
...  

2021 ◽  
Author(s):  
Hiroaki Nakashima ◽  
Shiro Imagama ◽  
Toshitaka Yoshii ◽  
Satoru Egawa ◽  
Kenichiro Sakai ◽  
...  

Abstract This prospective multicenter study formed by the Japanese Ministry of Health, Labour and Welfare at 27 institutions aimed to compare postoperative outcomes between laminoplasty (LM) and posterior fusion (PF) for cervical ossification of the posterior longitudinal ligament (OPLL). Controversy exists regarding the role of instrumented fusion in the context of posterior surgical decompression for OPLL. Among the 479 patients enrolled, 189 (137 and 52 patients with LM and PF, respectively) were included and evaluated using the Japanese Orthopaedic Association (JOA) scores, the JOA Cervical Myelopathy Evaluation Questionnaire (JOACMEQ), and radiographical measurements. Basic demographic and radiographical data were reviewed, and the propensity to choose a surgical procedure was calculated. Preoperatively, patient backgrounds, radiographical measurements (K-line or cervical alignment on X-ray, OPLL occupation ratio on computed tomography, and increased signal intensity change on magnetic resonance imaging), or clinical status (JOA score and JOACMEQ) after adjustments showed no significant differences. The overall risk of perioperative complications was lower in LM (odds ratio [OR] 0.40, p = 0.006), and C5 palsy was significantly lower in LM (OR 0.11, p = 0.0002) than in PF. The range of motion (20.91° ± 1.05° and 9.38° ± 1.24°, p < 0.0001) in patients with PF was significantly smaller than in those with LM. However, multivariable logistic regression analysis showed no significant difference in JOA score, JOA recovery rate, or JOACMEQ improvement at two years. In contrast, OPLL progression was greater in LM group than in the PF group (OR 2.73, p = 0.0002). LM and PF for cervical myelopathy due to OPLL resulted in comparable postoperative outcomes at two years after surgery.


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