지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 60 - 66 (7page)
이용수
초록· 키워드
오류제보하기
Objective: The optimal treatment modality for cervical ossifcation of the posteriorlongitudinal ligament (OPLL) including the C2 level remains controversial. Cervicallaminoplasty is a widely accepted considering of advantages such as development of fewpostoperative complications, including kyphosis or neck pain. We encountered sevenpatients with postoperative disabilities resulting from incomplete decompression aferundercutting of the C2 lamina. Based on this experience, we developed a new index todetermine the degree of decompression in cervical OPLL—the rostral line (R-line). Methods: Total of 79 consecutive patients who underwent posterior decompression ofcervical OPLL were included in this study. Mean age at the time of operation, the C2-C7cervical lordotic angle and OPLL thickness at the most stenotic level of the spinal canal, andpreoperative/postoperative Japanese Orthopedic Association score was checked in thesegroup. We compared the correspondence between the degree of C2 lamina decompressionusing the R-line and actual degree of decompression. Results: In all patients, the R-line touched the upper half of the C2 lamina on preoperativemagnetic resonance imaging (MRI). The C2-C3 local segment lordotic angle and maximaldegree of spinal cord compression by OPLL were independently correlated to postoperativeC2 cord shifing. This result indicates that the R-line is a valid indicator to determine thedegree of C2 lamina decompression in OPLL extending to the C2 level. Conclusion: The results showed that undercutting the C2 lamina can result in incompletespinal cord decompression and poor clinical outcome if the R-line touches the upper half ofthe C2 lamina on preoperative MRI.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Abiola R / 2016 / Ossification of the posterior longitudinal ligament : etiology, diagnosis, and outcomes of nonoperative and operative management / Global Spine J 6:195~204
Baba H / 1996 / Lordotic alignment and posterior migration of the spinal cord following en bloc open-door laminoplasty for cervical myelopathy : a magnetic resonance imaging study / J Neurol 243:626~632
Chiba K / 2000 / Impact of longitudinal distance of the cervical spine on the results of expansive open-door laminoplasty / Spine 25:2893~2898
Iizuka H / 2001 / Extensor musculature of the cervical spine after laminoplasty : morphologic evaluation by coronal view of the magnetic resonance image / Spine 26:2220~2226
Iizuka H / 2007 / Cervical malalignment after laminoplasty : relationship to deep extensor musculature of the cervical spine and neurological outcome / J Neurosurg Spine 7:610~614
Baba H / 1996 / Lordotic alignment and posterior migration of the spinal cord following en bloc open-door laminoplasty for cervical myelopathy : a magnetic resonance imaging study / J Neurol 243:626~632
Chiba K / 2000 / Impact of longitudinal distance of the cervical spine on the results of expansive open-door laminoplasty / Spine 25:2893~2898
Iizuka H / 2001 / Extensor musculature of the cervical spine after laminoplasty : morphologic evaluation by coronal view of the magnetic resonance image / Spine 26:2220~2226
Iizuka H / 2007 / Cervical malalignment after laminoplasty : relationship to deep extensor musculature of the cervical spine and neurological outcome / J Neurosurg Spine 7:610~614
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Investigation of Symptomatic Unstable Changes of Non-Fused Component in the Mixed-Type Cervical Ossifcation of Posterior Longitudinal Ligament Using Dynamic Magnetic Resonance Imaging: A Case Report
Korean Journal of Neurotrauma
2018 .01
-
Anterior Decompression and Fusion for the Treatment of Cervical Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament: A Narrative Review
Asian Spine Journal
2023 .06
-
Review of Radiological Parameters, Imaging Characteristics, and Their Effect on Optimal Treatment Approaches and Surgical Outcomes for Cervical Ossification of the Posterior Longitudinal Ligament
Neurospine
2019 .01
-
Ossification of the Posterior Longitudinal Ligament in Cervical Spine: Prevalence, Management, and Prognosis
Neurospine
2018 .01
-
Circumferential Spinal Cord Decompression through a Single Posterior Approach with Microendoscopy for Thoracic and Thoracolumbar Ossification of the Posterior Longitudinal Ligament
Asian Spine Journal
2015 .01
-
Molecular Pathophysiology of Ossification of the Posterior Longitudinal Ligament (OPLL)
Biomolecules & Therapeutics(구 응용약물학회지)
2019 .01
-
Ossification of the Posterior Longitudinal Ligament: Surgical Approaches and Associated Complications
Neurospine
2019 .01
-
Compression Angle of Ossification of the Posterior Longitudinal Ligament and Its Clinical Significance in Cervical Myelopathy
대한신경외과학회지
2016 .01
-
Letter to the Editor: Commentary on Progression of Ossification of Posterior Longitudinal Ligament After Anterior Cervical Discectomy and Fusion in Military Patients Exposed to Minor Trauma (Korean J Neurotrauma. 2022;18:254–267)
Korean Journal of Neurotrauma
2023 .03
-
The Clinical Implications and Complications of Anterior Versus Posterior Surgery for Multilevel Cervical Ossification of the Posterior Longitudinal Ligament; An Updated Systematic Review and Meta-Analysis
Neurospine
2019 .01
-
Variations in Practice among Asia–Pacific Surgeons and Recommendations for Managing Cervical Myelopathy: The First Asia–Pacific Spine Society Collaborative Study
Asian Spine Journal
2019 .01
-
Double Dome Laminoplasty: A Novel Technique for C2 Decompression
Neurospine
2021 .12
-
Selective Angiography to Detect Anterior Spinal Artery Stenosis in Thoracic Ossification of the Posterior Longitudinal Ligament
Asian Spine Journal
2022 .06
-
Analysis of Factors Contributing to Repeat Surgery in Multi-Segments Cervical Ossification of Posterior Longitudinal Ligament
대한신경외과학회지
2018 .01
-
Does Ossification of the Posterior Longitudinal Ligament Progress After Fusion?
Neurospine
2019 .01
-
Arteriovenous Fistula at the Craniocervical Junction Found After Cervical Laminoplasty for Ossification of the Posterior Longitudinal Ligament
Neurospine
2020 .01
-
White Cord Syndrome: A Reperfusion Injury Following Spinal Decompression Surgery
Korean Journal of Neurotrauma
2022 .10
-
5개국 공기잠수감압표의 감압시간과 감압방법 비교
한국산업보건학회지
2016 .01
-
Effect of Cervical Spinal Decompression on the Cervical Muscle Tone and Disc Height in Patients with Cervical Intervertebral Disc Herniation
Journal of international academy of physical therapy research
2018 .01
-
Assessment of Cervical Myelopathy Risk in Ossification of the Posterior Longitudinal Ligament Patients With Spinal Cord Compression Based on Segmental Dynamic Versus Static Factors
Neurospine
2023 .06
이 논문의 저자 정보
최근 본 자료
댓글(0)
0