OPERATIVE RESULTS AND POSTOPERATIVE PROGRESSION OF OSSIFICATION AMONG PATIENTS WITH OSSIFICATION OF CERVICAL POSTERIOR LONGITUDINAL LIGAMENT
OPERATIVE RESULTS AND POSTOPERATIVE PROGRESSION OF OSSIFICATION AMONG PATIENTS WITH OSSIFICATION OF CERVICAL POSTERIOR LONGITUDINAL LIGAMENT
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DOI：
10.1097/00007632-198107000-00005
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发表时间：
1981-01-01
期刊：
影响因子：
3
通讯作者：
WAKANO, K
中科院分区：
文献类型：
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作者：
HIRABAYASHI, K;MIYAKAWA, J;WAKANO, K
虽然颈椎后纵韧带骨化症（OPLL）的发病机制尚不清楚，但严重的颈椎脊髓病或神经根病显然是由OPLL引起的。对因OPLL合并脊髓病或神经根病而接受手术的病例[53]进行了随访。回收率约为70%被观察到。75%的连续型和混合型病例术后骨化进展，而节段型和其他型病例很少。生物学、结构和活动性相关因素可能是这些术后骨化进展的致病因素。骨化期对节段性及其他型宜行前路减压，对连续型及混合型宜行后路减压，必要时对混合型宜行二期联合减压。
Although the pathogenesis of ossification of the cervical posterior longitudinal ligament (OPLL) is not clarified, severe cervical myelopathy or radiculopathy is apparently caused by OPLL. Cases [53] who were operated on for OPLL with myelopathy or radiculopathy were followed-up. A recovery rate of .apprx. 70% was observed. Postoperative progressions of the ossification were observed among 75% of the cases of continuous and mixed type but seldom among those with segmental and other types. Biological, structural and mobility-related elements may be causative factors for these postoperative progressions of ossification. In the ossified stage it is desirable to apply anterior decompression for the segmental and other type, posterior decompression for the continuous and mixed type and, if necessary, 2-stage combined decompression for the mixed type.