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OPLL pp 135-142 | Cite as

Choice of Surgical Procedure for Cervical Ossification of the Posterior Longitudinal Ligament

  • Kiyoshi Hirabayashi
  • Yoshiaki Toyama

Abstract

The natural course of cervical myelopathy caused by ossification of the posterior longitudinal ligament (OPLL) was reported in 207 patients during an average period of 10 years and 3 months by Matsunaga et al. [1]. Matsunaga found that myelopathic symptoms were already present in 18% of patients at the initial examination and clinical symptoms were unchanged in 66% during 10 years. Among myelopathic patients, myelopathy was aggravated later in 40%, while myelopathy appeared in 20% of patients who were non-myelopathic at the initial examination (Table 1).

Keywords

Cervical Spine Cervical Spondylotic Myelopathy Posterior Longitudinal Ligament Cervical Myelopathy Diffuse Idiopathic Skeletal Hyperostosis 
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 Japan 1997

Authors and Affiliations

  • Kiyoshi Hirabayashi
    • 1
  • Yoshiaki Toyama
    • 1
  1. 1.Department of Orthopaedic SurgeryKeio University School of MedicineTokyo, 160Japan

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