Anterior Decompression and Fusion for the Treatment of Cervical Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament: A Narrative Review
Occasionally, ossification of the posterior longitudinal ligament (OPLL) causes cord compression, resulting in cervical myelopathy. OPLL differs from other causes of cervical spondylotic myelopathy in several ways, and the surgical strategy should be chosen with OPLL’s characteristics in mind. Altho...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2023-06-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://asianspinejournal.org/upload/pdf/asj-2022-0003.pdf |
| _version_ | 1827916514425044992 |
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| author | Sehan Park Dong-Ho Lee Choon Sung Lee Chang-Ju Hwang Jae Jun Yang Jae Hwan Cho |
| author_facet | Sehan Park Dong-Ho Lee Choon Sung Lee Chang-Ju Hwang Jae Jun Yang Jae Hwan Cho |
| author_sort | Sehan Park |
| collection | DOAJ |
| description | Occasionally, ossification of the posterior longitudinal ligament (OPLL) causes cord compression, resulting in cervical myelopathy. OPLL differs from other causes of cervical spondylotic myelopathy in several ways, and the surgical strategy should be chosen with OPLL’s characteristics in mind. Although both the anterior and posterior approaches are effective surgical methods for the treatment of OPLL cervical myelopathy, they each have their own set of benefits and drawbacks. Anterior decompression and fusion (ADF) may improve neurological recovery, restore lordosis, and prevent OPLL mass progression. The benefits can be seen in patients with a high canal occupying ratio or kyphotic alignment. We discussed the benefits, limitations, indications, and surgical techniques of ADF for the treatment of OPLL-induced cervical myelopathy in this narrative. |
| first_indexed | 2024-03-13T03:16:16Z |
| format | Article |
| id | doaj.art-9aaab3dc2f5f4976a46981fff439a015 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-03-13T03:16:16Z |
| publishDate | 2023-06-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-9aaab3dc2f5f4976a46981fff439a0152023-06-26T01:29:49ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462023-06-0117358259410.31616/asj.2022.00031495Anterior Decompression and Fusion for the Treatment of Cervical Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament: A Narrative ReviewSehan Park0Dong-Ho Lee1Choon Sung Lee2Chang-Ju Hwang3Jae Jun Yang4Jae Hwan Cho5 Department of Orthopaedic Surgery, Dongguk University Ilsan Hospital, Goyang, Korea Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Orthopaedic Surgery, Dongguk University Ilsan Hospital, Goyang, Korea Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaOccasionally, ossification of the posterior longitudinal ligament (OPLL) causes cord compression, resulting in cervical myelopathy. OPLL differs from other causes of cervical spondylotic myelopathy in several ways, and the surgical strategy should be chosen with OPLL’s characteristics in mind. Although both the anterior and posterior approaches are effective surgical methods for the treatment of OPLL cervical myelopathy, they each have their own set of benefits and drawbacks. Anterior decompression and fusion (ADF) may improve neurological recovery, restore lordosis, and prevent OPLL mass progression. The benefits can be seen in patients with a high canal occupying ratio or kyphotic alignment. We discussed the benefits, limitations, indications, and surgical techniques of ADF for the treatment of OPLL-induced cervical myelopathy in this narrative.http://asianspinejournal.org/upload/pdf/asj-2022-0003.pdfossification of posterior longitudinal ligamentanterior decompression and fusionanterior cervical corpectomy and fusionanterior cervical discectomy and fusionvertebral body sliding osteotomy |
| spellingShingle | Sehan Park Dong-Ho Lee Choon Sung Lee Chang-Ju Hwang Jae Jun Yang Jae Hwan Cho Anterior Decompression and Fusion for the Treatment of Cervical Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament: A Narrative Review Asian Spine Journal ossification of posterior longitudinal ligament anterior decompression and fusion anterior cervical corpectomy and fusion anterior cervical discectomy and fusion vertebral body sliding osteotomy |
| title | Anterior Decompression and Fusion for the Treatment of Cervical Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament: A Narrative Review |
| title_full | Anterior Decompression and Fusion for the Treatment of Cervical Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament: A Narrative Review |
| title_fullStr | Anterior Decompression and Fusion for the Treatment of Cervical Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament: A Narrative Review |
| title_full_unstemmed | Anterior Decompression and Fusion for the Treatment of Cervical Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament: A Narrative Review |
| title_short | Anterior Decompression and Fusion for the Treatment of Cervical Myelopathy Caused by Ossification of the Posterior Longitudinal Ligament: A Narrative Review |
| title_sort | anterior decompression and fusion for the treatment of cervical myelopathy caused by ossification of the posterior longitudinal ligament a narrative review |
| topic | ossification of posterior longitudinal ligament anterior decompression and fusion anterior cervical corpectomy and fusion anterior cervical discectomy and fusion vertebral body sliding osteotomy |
| url | http://asianspinejournal.org/upload/pdf/asj-2022-0003.pdf |
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