Complications in the Surgical Management of Ossification of the Posterior Longitudinal Ligament Using the Anterior Approach

2004 ◽  
pp. 289-296
Keyword(s):  
Surgical Management ◽  
Anterior Approach ◽  
Posterior Longitudinal Ligament

scholarly journals Anterior Approach with Autogenous Vertebral Bone Graft in Ossification of the Posterior Longitudinal Ligament of the Cervical Spine

1995 ◽  
Vol 9 (0) ◽  
pp. 37-42 ◽  
Author(s):  
Hiroshi Nakagawa ◽  
Junichi Mizuno ◽  
Kiyoshi Tamai ◽  
Masanori Isobe ◽  
Kazuhiro Hongo ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Bone Graft ◽  
Anterior Approach ◽  
Posterior Longitudinal Ligament ◽  
Vertebral Bone

Posterolateral microdiscectomy for cervical monoradiculopathy caused by posterolateral soft cervical disc sequestration

1990 ◽  
Vol 72 (3) ◽  
pp. 370-377 ◽  
Author(s):  
Francois Aldrich
Keyword(s):  
Anterior Approach ◽  
Posterior Longitudinal Ligament ◽  
Clinical Results ◽  
Skin Incision ◽  
Posterolateral Approach ◽  
Cervical Disc ◽  
Attractive Alternative ◽  
Disc Space ◽  
Content Type ◽  
Fine Print

✓ The controversy over whether to use a posterior or anterior approach for surgical treatment of soft cervical discs is still largely unsettled. However, although the posterior approach may be underutilized, it has distinct advantages when there are specific indications. Out of a large pool of cases, 53 patients presented with acute monoradiculopathy caused by soft cervical disc herniation. In 36 of these, the disc was sequestered (nonconfined) and was posterolateral to the disc space as seen on computerized tomography-myelography. Distinct motor weakness was a common clinical finding in all 36 cases. These patients were treated by using a 2- to 3-cm skin incision for the posterolateral microsurgical approach. The extent of the lateral facetectomy depended upon the relationship between the nerve root and the disc. All fragments were lateral to the dural sac and were sequestered through the anulus fibrosus and the posterior longitudinal ligament. Sequestrations were removed under direct microscopic vision, but the disc space was not entered. Pain relief and motor-power improvement in the affected radicular distribution were immediate in all patients. Sensory deficit and residual motor loss improved dramatically with normalization at approximately 6 months. No complications occurred and the mean hospital stay was 2 days. The follow-up period varied from 4 to 42 months with a mean of 26 months. Thus far, there have been no recurrences or other associated complications. By using strict selection criteria and a microsurgical posterolateral approach with removal of the sequestered disc fragment, excellent results with normalization of the monoradiculopathy can be obtained. The ease of this technique, low risk, minimal complications, and excellent results make it an attractive alternative to the anterior approach. The clinical presentations, specific indications, surgical technique, and clinical results are discussed; and a prototype of a small cervical self-retaining retractor is described.

Anterior decompression for ossification of the posterior longitudinal ligament of the cervical spine

1981 ◽  
Vol 55 (1) ◽  
pp. 108-116 ◽  
Author(s):  
Hiroshi Abe ◽  
Mitsuo Tsuru ◽  
Terufumi Ito ◽  
Yoshinobu Iwasaki ◽  
Mitsuyuki Koiwa
Keyword(s):  
Cervical Spine ◽  
Marked Improvement ◽  
Anterior Approach ◽  
Posterior Longitudinal Ligament ◽  
Long Bone ◽  
Anterior Decompression ◽  
Content Type ◽  
Operative Results ◽  
Vertebral Bodies ◽  
Anterior Decompression And Fusion

✓ Anterior decompression and fusion for treating ossification of the posterior longitudinal ligament of the cervical spine was performed in 12 patients. The central part of the vertebral body and the ossified area of the posterior longitudinal ligament were removed by means of a microrongeur and an air drill. The defect was filled with a long bone graft taken from the ilium. The operative results were excellent. Marked improvement of radicular and spinal cord signs was seen in all 12 cases. Three vertebral bodies were fused in one case, four in nine cases, and five in two cases. The highest level of fusion was C-2 and the lowest was T-1. It is considered that any ossification of the ligament below the C-2 level can be removed via an anterior approach as long as no more than five vertebral bodies are involved. Spinal computerized tomography was valuable in providing more detailed information about the stenotic spinal canal and the shape of the ossified ligament.

scholarly journals Anterior Approach to Ossification of the Posterior Longitudinal Ligament in the Cervical Spine

1995 ◽  
Vol 9 (0) ◽  
pp. 31-36 ◽  
Author(s):  
Tadashi Kojima ◽  
Shiro Waga ◽  
Yoshichika Kubo ◽  
Toshio Matsubara ◽  
Hiroshi Sakaida ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Anterior Approach ◽  
Posterior Longitudinal Ligament

scholarly journals Cervical ossification of the posterior longitudinal ligament and its post surgical outcome analysis

2020 ◽  
Vol 8 (3) ◽  
pp. 816
Author(s):  
Vipul Kumar Gupta ◽  
T. Narsimha Rao
Keyword(s):  
Anterior Approach ◽  
Posterior Approach ◽  
Tertiary Care ◽  
Disease Process ◽  
Posterior Longitudinal Ligament ◽  
Functional Improvement ◽  
Outcome Analysis ◽  
Biomechanical Factors ◽  
Surgical Group

Background: Ossification of the posterior longitudinal ligament (OPLL) is a complex multi-factorial disease process having both metabolic and biomechanical factors. The objective of this study was to assess the surgical out come and post operative functional improvement in patients with cervical OPLL at a tertiary care centre.Methods: This prospective observational study included 35 patients undergoing surgery for cervical OPLL in the department of neurosurgery, Care hospitals Hyderabad from October 2015 to October 2016 with follow up at 3months and 6 months.Results: Total 35 patients who underwent surgery, majority (77.15%) were males and (22.85%) were female. The age of the patients was between 30 to 70 years. The most common type of OPLL was found to be segmental and mixed type. Nurick grade improved by 1.12 in anterior approach vs 0.66 in posterior approach. Recovery rates observed in anterior approach is 57.72% while in posterior surgical approach it is 48.87%. No complication was observed in this study.Conclusions: OPLL is more common in males as compared to females. The average age of presentation is sixth decade. Younger patients have better outcomes. The most common variant of OPLL is segmental.  The recovery rate achieved from anterior approach are better than those from the posterior approach. Improvement in NURICKS score is more in anterior surgical group than in posterior surgical group. No complications seen in this study. No mortality seen in this study.

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