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OPLL pp 225-230 | Cite as

Choice of Surgical Procedures for Thoracic Ossification of the Posterior Longitudinal Ligament

  • Atsushi Seichi
  • Katsushi Takeshita
  • Kozo Nakamura

Conclusions

In our opinion, for patients with both cervical and thoracic OPLL, wide-ranging posterior decompression surgery with or without instrumentation is the treatment of choice [14]. For localized and exceedingly thick OPLL without cervical OPLL, either (1) posterior decompression and correction of thoracic kyphosis by instrumentation with or without a second anterior surgery or (2) anterior surgery may be the choice. The authors have not yet determined which of these two procedures is better. When the spinal cord is compressed by OLF together with thoracic OPLL, posterior surgery alone or posterior and anterior surgery is the choice.

Keywords

Spinal Cord Spinal Cord Injury Thoracic Spine Posterior Approach Anterior Approach 
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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References

  1. 1.
    Abumi K, Kaneda K, Satoh S, Hasegawa K (1997) Choice of surgical procedure for thoracic ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum. In: Yonenobu K, Sakoh T, Ono K (eds) OPLL, ossification of the posterior longitudinal ligament. Springer, Tokyo, pp 175–183Google Scholar
  2. 2.
    Fujimura Y, Nishi Y, Nakamura M, Toyama Y, Suzuki N (1997) Long-term follow-up study of anterior decompression and fusion for thoracic myelopathy resulting from ossification of the posterior longitudinal ligament. Spine 22:305–311PubMedCrossRefGoogle Scholar
  3. 3.
    Hanai K, Ogikubo O, Miyashita T (2002) Anterior decompression for myelopathy resulting from thoracic ossification of the posterior longitudinal ligament. Spine 27: 1070–1076PubMedCrossRefGoogle Scholar
  4. 4.
    Kurosa Y, Yamaura I, Nakai O, Shinomiya K (1996) Selecting a surgical method for thoracic myelopathy caused by ossification of the posterior longitudinal ligament. Spine 21:1458–1466PubMedCrossRefGoogle Scholar
  5. 5.
    Matsuyama Y, Sato K, Kawakami N, Iwata H (2000) Thoracic ossification of posterior longitudinal ligament: evaluation of postoperative deteriorated cases (in Japanese). Rinsho Seikei Geka 35:39–46Google Scholar
  6. 6.
    Ohtsuka K, Terayama K, Wada M, Kinoshita H, Takahashi S, Murata S (1988) The results of surgical treatment for thoracic myelopathy due to ossification of the posterior longitudinal ligament: anterior decompression of the thoracic cord through the posterior (in Japanese). Rinsho Seikei Geka 23:467–472Google Scholar
  7. 7.
    Tomita K, Kawahara N, Baba H, Kikuchi Y, Nishimura H (1990) Circumspinal decompression for thoracic myelopathy due to combined ossification of the posterior longitudinal ligament and ligamentum flavum. Spine 11:1114–1120CrossRefGoogle Scholar
  8. 8.
    Tsuzuki N, Wadano Y, Kikuchi S (1997) Extensive cervicothoracic laminoplastic decompression for thoracic myelopathy caused by ossification of the posterior longitudinal ligament. In: Yonenobu K, Sakoh T, Ono K (eds) OPLL, ossification of the posterior longitudinal ligament. Springer, Tokyo, pp 185–192Google Scholar
  9. 9.
    Tsuzuki N, Hirabayashi S, Abe R, Saiki K (2001) Staged spinal cord decompression through posterior approach for thoracic myelopathy caused by ossification of posterior longitudinal ligament. Spine 26:1623–1630PubMedCrossRefGoogle Scholar
  10. 10.
    Yonenobu K, Korkusuz F, Hosono N, Ebara S, Ono K (1990) Lateral rhachotomy for thoracic spinal lesions. Spine 15:1121–1125PubMedCrossRefGoogle Scholar
  11. 11.
    Seichi A, Takeshita K, Kawaguchi H, Kawamura N, Higashikawa A, Nakamura K (2005) Image-guided surgery for thoracic ossification of the posterior longitudinal ligament. J Neurosurg (Spine 3) 165–168Google Scholar
  12. 12.
    Seichi A, Takeshita K, Kawaguchi H, Nakajima S, Akune T, Nakamura K (2004) Postoperative expansion of intramedullary high-intensity areas on T2-weighted magnetic resonance imaging after cervical laminoplasty. Spine 29:1478–1482PubMedCrossRefGoogle Scholar
  13. 13.
    Yamazaki M, Okawa A, Koda M, Aiba A (2005) Transient paraparesis after laminectomy for thoracic myelopathy due to ossification of the posterior longitudinal ligament: a case report. Spine 30:E343–E346PubMedCrossRefGoogle Scholar
  14. 14.
    Nakanishi K, Tanaka N, Nishikawa K, Fujimoto Y, Ochi M (2005) Positive effect of posterior instrumentation after surgical decompression for extensive cervicothoracic ossification of the posterior longitudinal ligament. Spine 30:E382–E386PubMedCrossRefGoogle Scholar
  15. 15.
    Yamazaki M, Ohkawa A, Moriya, Mochizuki M (2004) Surgical indication of the posterior decompression and fusion for thoracic myelopathy due to ossification of the posterior longitudinal ligament of the spine according to its clinical result. J East Jpn Orthop Traumatol 16: 81–83Google Scholar

Copyright information

© Springer 2006

Authors and Affiliations

  • Atsushi Seichi
    • 1
  • Katsushi Takeshita
    • 1
  • Kozo Nakamura
    • 1
  1. 1.Department of Orthopaedic SurgeryThe University of TokyoTokyoJapan

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