Advertisement

OPLL pp 235-240 | Cite as

Circumspinal Decompression with Dekyphosis Stabilization for Thoracic Myelopathy due to Ossification of the Posterior Longitudinal Ligament

  • Norio Kawahara
  • Katsuro Tomita
  • Hideki Murakami
  • Satoru Demura
  • Yoichi Sekino
  • Wataru Nasu
  • Yoshiyasu Fujimaki

Conclusions

OPLL plaque in the thoracic spine is most easily, safely, and completely removed or floated by circumspinal decompression with dekyphosis stabilization. This radical procedure demands meticulous preparation and utmost care throughout the operation, but it is a rewarding method to alleviate severe thoracic myelopathy due to OPLL.

Keywords

Spinal Cord Pedicle Screw Thoracic Spine Thoracic Kyphosis Posterior Longitudinal Ligament 
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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Fujimura S (2002) Anterior decompression and fusion through anterior approach for ossification of posterior longitudinal ligament of the thoracic spine. Spine Spinal Cord 15:105–111Google 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.
    Tomita K (1990) Total decompression of the spinal cord for combined ossification of posterior longitudinal ligament and yellow ligament in the thoracic spine. Arch Orthop Trauma Surg 109:57–62PubMedCrossRefGoogle Scholar
  4. 4.
    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. Spine15:1114–1120PubMedCrossRefGoogle Scholar
  5. 5.
    Tsuzuki N, Hirabayashi S, Abe R, Saikji K (2001) Staged spinal cord decompression through posterior approach for thoracic myelopathy caused by ossification of posterior longitudinal ligament. Spine 14:1623–1630CrossRefGoogle Scholar
  6. 6.
    Yonenobu K, Korkusuz F, Hosono N, Ebara S, Ono K (1990) Lateral rhachotomy for thoracic spinal lesions. Spine 15:1121–1125PubMedCrossRefGoogle Scholar
  7. 7.
    Seich A, Takeshita K, Akune T, Kawaguchi H, Kawamura N, Nakamura K (2004) Computer-aided surgery for thoracic ossification of the posterior longitudinal ligament. East Jpn J Orthop Traumatol 16:235–238Google Scholar
  8. 8.
    Kawahara N, Tomita K (2001) Circumspinal decompression for thoracic myelopathy due to combined ossification of the posterior longitudinal ligament and yellow ligament. J Jpn Spine Res Soc 12:450–456Google Scholar
  9. 9.
    Matsuyama Y, Goto M, Kawakami H, Inao H, Yoshihara H, Sato K, Kawakami N (2002) Surgical outcome of thoracic ossification of posterior longitudinal ligament: focused on type of ossification. Spine Spinal Cord 15:127–132Google Scholar
  10. 10.
    Miyazaki K, Kirita Y, Hayashi T, Nosaka K, Yamamura H, Tamaki S, Tomihara M (1977) Surgical treatment for ossification of the posterior longitudinal ligament of the thoracic spine. Rinsho Seikei Geka 12:360–367Google Scholar
  11. 11.
    Tokuhashi Y, Taki J, Matsuzaki H, Hoshino M, Ishikawa H (2004) Indication and limits of posterior decompression for the patients with ossification of the posterior longitudinal ligament of the thoracic spine. Bessatsu Seikeigeka 45:221–228Google Scholar
  12. 12.
    Yamazaki M, Ookawa A, Moriya H, 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. East Jpn J Orthop Traumatol 16:81–83Google Scholar
  13. 13.
    Fujimura Y, Nishi Y, Nakamura M, Toyama Y, Suzuki N (1996) Anterior decompression and fusion for ossification of the posterior longitudinal ligament of the upper thoracic spine causing myelopathy using the manubrium splitting. Spinal Cord 34:387–393PubMedGoogle Scholar
  14. 14.
    Kawahara N, Tomita K, Kobayashi T, Abdel-Wanis ME, Murakami H, Akamaru T (2005) Influence of acute shortening on the spinal cord: an experimental study. Spine 30:613–620PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2006

Authors and Affiliations

  • Norio Kawahara
    • 1
  • Katsuro Tomita
    • 1
  • Hideki Murakami
    • 1
  • Satoru Demura
    • 1
  • Yoichi Sekino
    • 1
  • Wataru Nasu
    • 1
  • Yoshiyasu Fujimaki
    • 1
  1. 1.Department of Orthopaedic Surgery, School of MedicineKanazawa UniversityKanazawaJapan

Personalised recommendations