THE SURGICAL-MANAGEMENT OF OSSIFICATION OF THE POSTERIOR LONGITUDINAL LIGAMENT IN 43 NORTH AMERICANS

被引：58
作者：
EPSTEIN, NE
机构：
[1] N SHORE UNIV HOSP,DEPT SURG,DIV NEUROSURG,MANHASSET,NY 11030
[2] CORNELL UNIV,COLL MED,ITHACA,NY 14853
来源：
SPINE | 1994年 / 19卷 / 06期
关键词：
CERVICAL SURGERY; OSSIFICATION OF THE POSTERIOR LONGITUDINAL LIGAMENT;
D O I：
10.1097/00007632-199403001-00005
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
From 1989 to 1992, 43 of 174 (25%) consecutive North Americans had cervical ossification of the posterior longitudinal ligament (OPLL). After the non-random selection of anterior corpectomies and fusions, anterior discectomies and fusions, or five-level laminectomies, the preoperative and postoperative outcomes of the OPLL patients were compared using Ranawat's neurological classes and grades. Patients who had anterior OPLL surgery exhibited superior outcomes compared with those who had laminectomies. Specifically, the 20 patients who underwent corpectomies and had the most severe preoperative deficits had the best postoperative results; the 13 discectomy patients, with the least severe preoperative deficits, had intermediate recoveries, whereas the ten laminectomy patients, with intermediate preoperative neurologic dysfunction, had biased future surgical choices to favor more anterior approaches.
引用
收藏
页码：664 / 672
页数：9
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