Conservative Treatment of Ossification of the Posterior Longitudinal Ligament in the Cervical Spine
OPLL patients with mild myelopathy and without signs of worsening may be good candidates for conservative treatment. Immobilization of the cervical spine by various methods is an important principle of conservative treatment for avoiding dynamic factors. If traction is selected as the method of immobilization, the cervical spine should be kept flexed. Because some OPLL patients with mild myelopathy aggravate their myelopathy, and the surgical results of moderate myelopathy are superior to the results of conservative treatment, surgery should not be ruled out even if the outcome of conservative treatment is good, especially in patients with risk factors for a poor natural course or prognosis.
KeywordsSpinal Cord Cervical Spine Conservative Treatment Dynamic Factor Cervical Spondylotic Myelopathy
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