Management of ossification of the posterior longitudinal ligament of the thoracic spine

Management of ossification of the posterior longitudinal ligament of the thoracic spine
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DOI:
10.3171/2010.12.focus10282
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发表时间:
2011-03-01
影响因子:
4.1
通讯作者:
Liu, John C.
Liu, John C.
中科院分区:
医学2区
文献类型:
--
作者:
McClendon, Jamal, Jr.;Sugrue, Patrick A.;Liu, John C.

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胸椎后纵韧带骨化症的治疗已被许多脊柱外科医生研究。手术干预的适应症包括进行性神经根病、脊髓病和神经功能恶化。后纵韧带骨化症的手术治疗方法多种多样,理想的减压手术仍存在很大争议。虽然已经确定了对3种主要入路(前路、后路或外侧)的许多修改,但每种入路的适应症取决于压迫的性质、后纵韧带的形态。作者讨论了胸椎后纵韧带骨化症的治疗技术,引用了单个机构的病例,并回顾了文献。(DOI:10.3171/2010.12.FOC10282)
The management of thoracic ossification of the posterior longitudinal ligament has been studied by many spinal surgeons. Indications for operative intervention include progressive radiculopathy, myelopathy, and neurological deterioration. The ideal surgery for decompression remains highly debatable as various methods of surgical treatment of ossification of the posterior longitudinal ligament have been devised. Although numerous modifications to the 3 main approaches have been identified (anterior, posterior, or lateral), the indication for each depends on the nature of compression, the morphology of the The authors discuss treatment techniques for thoracic ossification of the posterior longitudinal ligament, cite case examples from a single institution, and review the literature. (DOI: 10.3171/2010.12.FOCUS10282)