OPLL pp 201-205 | Cite as

Lateral Rhachotomy

  • Kazuo Yonenobu
  • Shozo Suzuki
  • Noboru Hosono
  • Eiji Wada


Surgical treatment of thoracic myelopathy is not always rewarding. Several authors have reported poor results related to posterior decompressive laminectomy [1–3]. The reasons for poor results after laminectomy can be listed as follows: (1) the spinal cord is not expected to shift backward as a result of laminectomy because of the kyphotic curvature of the thoracic spine; (2) impingement on the spinal cord remains unaffected after laminectomy when the lesion is located in the anterior portion of the canal, such as ossification of the posterior longitudinal ligament (OPLL); and (3) progression of the present kyphosis may be the main reason for postoperative neurological deterioration [1–3].


Spinal Cord Posterior Longitudinal Ligament Articular Facet Anterior Decompression Thoracic Disk Herniation 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Kaneda K, Sato E, Higuchi M, Nohara H, Koguma T, Honma S, Mitsuzaki A, Fujitani M (1981) Thoracic spinal canal stenosis due to ossification of the spinal canal ligaments (in Japanese). Rinsho Seikeigeka (Clin Orthop Surg) 16: 63–74Google Scholar
  2. 2.
    Sakou T, Morizono Y, Yoshinaga K, Yone K, Wakimaru K (1985) Results of surgical treatment for the ossification of yellow ligament and posterior longitudinal ligament; thoracic and thoracolumbar spine (in Japanese). Rinsho Seikeigeka (Clin Orthop Surg) 36: 1367–1375Google Scholar
  3. 3.
    Yonenobu K, Ebara S, Fujiwara K, Yamashita K, Ono K, Harada N, Ogino H, Ojima S (1987) Thoracic myelopathy secondary to ossification of the spinal ligament. J Neurosurg 66: 511–518PubMedCrossRefGoogle Scholar
  4. 4.
    Fujita Y, Yamamoto H, Tani S, Yamashita H, Otani M, Kondoh M (1986) A study on operative treatments for the throacic myelopathy (in Japanese). Cent Jpn J Orthop Traumatol 29: 286–289Google Scholar
  5. 5.
    Nanri Y, Tornita K, Umeda S, Baba H, Sawaguchi T, Yoshimizu N, Yonezama K, Nomura S (1986) Surgical treatment of thoracic myelopathy (in Japanese). Cent Jpn J Orthop Traumatol 29: 283–286Google Scholar
  6. 6.
    Ohtani K, Monzoku S, Shibazaki K, Namachi S (1977) Anterior decompression for ossification of the posterior longitudinal ligament of the thoracic spine (in Japanese). Rinsho Seikeigeka (Clin Orthop Surg) 12: 353–359Google Scholar
  7. 7.
    Tornita K, Kawahara N, Baba H, Kikuchi Y, Nishimura H (1990) Circumspinal decompression for thoracic myelopathy due to combined ossification of the posterior lognitudinal ligament and ligamentum flavum. Spine 15: 1114–1120CrossRefGoogle Scholar
  8. 8.
    Wood GW (1987) Infections of spine. In: Crenshaw AH (ed) Campbell’s operative orthopaedics, 7th edn. Mosby, St Louis, pp 3341–3342Google Scholar
  9. 9.
    Capener N (1954) The evolution of lateral rhachotomy. J Bone Jt Surg 36B: 173–179Google Scholar
  10. 10.
    Benson MKD, Byrneses DP (1975) The clinical syndromes and surgical treatment of thoracic intervertebral disk prolapse. J Bone Jt Surg 57B: 471–477Google Scholar
  11. 11.
    Benzel EC (1989) The lateral extracavitary approach to the spine using the three-quarter prone position. J Neurosurg 71: 837–841PubMedCrossRefGoogle Scholar
  12. 12.
    Fiedler MW (1986) Anterior decompression and stabilization of metastatic spinal fractures. J Bone Jt Surg 68B: 8390Google Scholar
  13. 13.
    Lobosky JM, Hitchon PW, McDonnell DE (1984) Transthoracic anterolateral decompression for thoracic spinal lesions. Neurosurgery (Baltimore) 14: 26–30CrossRefGoogle Scholar
  14. 14.
    Hirabayashi K, Miyakawa J, Satomi K, Maruyama T, Wakano K (1981) Operative results and postoperative progression of ossification among patients with ossification of cervical posterior longitudinal ligament. Spine 6: 354–364PubMedCrossRefGoogle Scholar

Copyright information

© Springer Japan 1997

Authors and Affiliations

  • Kazuo Yonenobu
    • 1
  • Shozo Suzuki
    • 1
  • Noboru Hosono
    • 1
  • Eiji Wada
    • 1
  1. 1.Department of Orthopaedic SurgeryOsaka University Medical SchoolSuita, Osaka 565Japan

Personalised recommendations