A novel anterior decompression technique (vertebral body sliding osteotomy) for ossification of posterior longitudinal ligament of the cervical spine
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Dong-Ho | - |
dc.contributor.author | Cho, Jae Hwan | - |
dc.contributor.author | Lee, Choon Sung | - |
dc.contributor.author | Hwang, Chang Ju | - |
dc.contributor.author | Choi, Sung Hoon | - |
dc.contributor.author | Hong, Chul Gie | - |
dc.date.accessioned | 2022-07-11T17:17:09Z | - |
dc.date.available | 2022-07-11T17:17:09Z | - |
dc.date.created | 2021-05-14 | - |
dc.date.issued | 2018-06 | - |
dc.identifier.issn | 1529-9430 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/149854 | - |
dc.description.abstract | BACKGROUND CONTEXT: Conventional anterior decompression surgery for cervical myelopathy, including anterior corpectomy and fusion, is technically demanding and is known to be associated with a higher incidence of surgery-related complications, including cerebrospinal fluid (CSF) leakage, neurologic deterioration, and graft failure compared with posterior surgery. PURPOSE: We introduce a novel anterior decompression technique (vertebral body sliding osteotomy [VBSO]) for cervical myelopathy caused by ossification of posterior longitudinal ligament (OPLL) and evaluate the efficacy and safety of this procedure. STUDY DESIGN: This is a case series for novel surgical technique. PATIENT SAMPLE: Fourteen patients (M:F=11:3, mean age 56.9 +/- 10) with cervical myelopathy caused by OPLL who underwent VBSO by a single surgeon were included. OUTCOME MEASURES: The surgical outcome was evaluated according to the Japanese Orthopaedic Association score for cervical myelopathy (C-JOA score), and the recovery rate of the C-JOA score was calculated. Patients were also evaluated radiographically with plain and dynamic cervical spine radiographs and pre- and postoperative computed tomography images. METHODS: Fourteen patients were followed up for more than 24 months, and operation time, estimated blood loss, neurologic outcomes, and surgery-related complications were investigated. Radiological measurements were also performed to analyze the following parameters: (1) canal-occupying ratio and postoperative canal widening, and (2) pre- and postoperative sagittal alignment. RESULTS: The mean recovery rate of C-JOA score at the final follow-up was 68.65 +/- 17.8%. There were no perioperative complications, including neurologic deterioration, vertebral artery injury, esophageal injury, graft dislodgement, and CSF leaks, after surgery except for pseudarthrosis in one case. An average spinal canal compromised ratio by OPLL decreased from 61.5 +/- 8.1% preoperatively to 165 +/- 11.2% postoperatively. An average postoperative canal widening was 5.15 +/- 1.39 mm, and improvement of cervical alignment was observed in all patients, with average recovery angle of 7.3 +/- 6.1 degrees postoperatively. CONCLUSIONS: The VBSO allows sufficient decompression of spinal cord and provides excellent neurologic outcomes. Because surgeons do not need to manipulate the OPLL mass directly, this technique could significantly decrease surgery-related complications. Furthermore, as VBSO is based on the multilevel discectomy and fusion technique, it would be more helpful to restore a physiological lordosis. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Elsevier BV | - |
dc.title | A novel anterior decompression technique (vertebral body sliding osteotomy) for ossification of posterior longitudinal ligament of the cervical spine | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, Sung Hoon | - |
dc.identifier.doi | 10.1016/j.spinee.2018.02.022 | - |
dc.identifier.scopusid | 2-s2.0-85046140941 | - |
dc.identifier.wosid | 000433264700023 | - |
dc.identifier.bibliographicCitation | Spine Journal, v.18, no.6, pp.1099 - 1105 | - |
dc.relation.isPartOf | Spine Journal | - |
dc.citation.title | Spine Journal | - |
dc.citation.volume | 18 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1099 | - |
dc.citation.endPage | 1105 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.subject.keywordPlus | FLOATING METHOD | - |
dc.subject.keywordPlus | MYELOPATHY | - |
dc.subject.keywordPlus | FUSION | - |
dc.subject.keywordPlus | LAMINOPLASTY | - |
dc.subject.keywordPlus | ARTHRODESIS | - |
dc.subject.keywordAuthor | Anterior decompression surgery | - |
dc.subject.keywordAuthor | Cervical myelopathy | - |
dc.subject.keywordAuthor | Cervical sagittal alignment | - |
dc.subject.keywordAuthor | Ossification of posterior longitudinal ligament | - |
dc.subject.keywordAuthor | Spinal canal widening | - |
dc.subject.keywordAuthor | Vertebral body sliding osteotomy | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S1529943018300809?via%3Dihub | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea+82-2-2220-1365
COPYRIGHT © 2021 HANYANG UNIVERSITY.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.