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OPLL pp 241-247 | Cite as

Posterior Extensive Cervicothoracic Laminoplasty

  • Yukihiro Nakagawa
  • Munehito Yoshida

Conclusions

In this series of cervicothoracic OPLL patients who underwent PECTL, the postoperative mean recovery rate of the JOA score was 44.9%. Postoperative sagittal alignment was preserved in all but one patient, who underwent simultaneous laminectomy in the lower thoracic spine. PECTL obtains decompression by a posterior shift of the whole spinal cord after simultaneous spinal canal enlargement, sparing the spinal cord from iatrogenic injury. This method has a low rate of postoperative paralysis and complications and can therefore be recommended.

Keywords

Thoracic Spine Spinous Process Posterior Longitudinal Ligament Japanese Orthopaedic Association Japanese Orthopaedic Association Score 
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.
    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, Sakou T, Ono K (eds) OPLL, ossification of the posterior longitudinal ligament. Springer, Tokyo, pp 185–192Google Scholar
  2. 2.
    Seki S, Kikuchi S (1995) Short-term outcome of the extensive cervicothoracic laminoplastic decompression for the cervical and thoracic myelopathy due to OPLL (in Japanese). J Jpn Spine Res Soc 6:45Google Scholar
  3. 3.
    Yoshida M, Otani K, Shibasaki K, Ueda S (1992) Expansive laminoplasty with reattachment of spinous process and extensor musculature for cervical myelopathy. Spine 17:491–497PubMedCrossRefGoogle Scholar
  4. 4.
    Yoshida M, Tamaki T, Kawakami M, Nakatani N, Ando M, Yamada H, Hayashi N (2002) Does reconstruction of posterior ligamentous complex with extensor musculature decrease axial symptom after cervical laminoplasty? Spine 27:1414–1418PubMedCrossRefGoogle Scholar
  5. 5.
    Abumi K, Kaneda K, Satoh S, Hasegawa K (1996) Anterior decompression and spinal reconstruction through posterior approach for ossification of the thoracic posterior longitudinal ligament (in Japanese). Rinsho Seikei Geka 31:563–569Google Scholar
  6. 6.
    Fujimura S, Nishi Y, 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 approach. Spinal Cord 34:387–393PubMedGoogle Scholar
  7. 7.
    Ohtani K, Nakai S, Fujimura S, Manzoku S, Shibasaki K (1982) Anterior surgical decompression for thoracic myelopathy as a result of ossification of the posterior longitudinal ligament. Clin Orthop 166:82–88PubMedGoogle Scholar
  8. 8.
    Hanai K, Ogikubo O, Miyashita T (2002) Anterior decompression for myelopathy resulting from thoracic ossification of posterior longitudinal ligament. Spine 27:1070–1076PubMedCrossRefGoogle Scholar
  9. 9.
    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 posterior longitudinal ligament: anterior decompression of the thoracic cord through the posterior approach (in Japanese). Rinsho Seikei Geka 23:467–472Google Scholar
  10. 10.
    Tomita K, Kawahara N, Baba H, Kikuchi Y, Nishimura H (1990) Circumferential decompression for thoracic myelopathy due to combined ossification of posterior longitudinal ligament and ligamentum flavum. Spine 15:1114–1120PubMedCrossRefGoogle Scholar
  11. 11.
    Yonenobu K, Ebara S, Fujiwara K, Fujiwara K, Yamashita K, Ono K, Yamamuro T, Harada N, Ogino H, Ojima S (1987) Thoracic myelopathy secondary to ossification of posterior longitudinal ligament. J Neurosurg 66:511–518PubMedCrossRefGoogle Scholar
  12. 12.
    Yonenobu K, Korkusuz F, Hososno N, Ebara S, Ono K (1990) Lateral rhachotomy for thoracic spinal lesions. Spine 15:1121–1125PubMedCrossRefGoogle Scholar
  13. 13.
    Tsuzuki N, Hirabayashi S, Abe R (2001) Staged spinal cord decompression through posterior approach for thoracic myelopathy caused by ossification of posterior longitudinal ligament. Spine 26:1623–1630PubMedCrossRefGoogle Scholar
  14. 14.
    Yamasaki M (2002) Posterior decompression and fusion for thoracic myelopathy due to ossification of posterior longitudinal ligament of the spine (in Japanese). Spine & spinal cord (in Japanese) 15:98–103Google Scholar

Copyright information

© Springer 2006

Authors and Affiliations

  • Yukihiro Nakagawa
    • 1
  • Munehito Yoshida
    • 1
  1. 1.Department of Orthopedic SurgeryWakayama Medical UniversityWakayamaJapan

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