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OPLL pp 177-180 | Cite as

Conservative Treatment of Ossification of the Posterior Longitudinal Ligament in the Cervical Spine

  • Masatoshi Sumi
  • Minoru Doita
  • Kotarou Nishida

Conclusions

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.

Keywords

Spinal Cord Cervical Spine Conservative Treatment Dynamic Factor Cervical Spondylotic Myelopathy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer 2006

Authors and Affiliations

  • Masatoshi Sumi
    • 1
  • Minoru Doita
    • 2
  • Kotarou Nishida
    • 2
  1. 1.Department of Orthopaedic Surgery, Japan Labour Health and Welfare OrganizationKobe Rosai HospitalKobeJapan
  2. 2.Department of Orthopaedic SurgeryKobe University Graduate School of MedicineKobeJapan

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