Anterior decompression surgery on the cervical disorders due to the ossification of the posterior longitudinal ligament in the cervical spine

概要

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Since 1970 decompressive surgery has been performed upon 30 cases of cervical myelopathy due mainly to the ossification of the posterior longitudinal ligaments.Anterior decompression was carried out by way of subtotal vertebrectomy and the resection of the ossified posterior ligaments for 23 cases, followed by anterior interbody fusion with the strut bone grafting. For the remaining 7 cases, decompression laminectomy was operated on and for the last one both procedures. The anterior decompression results more effective improvement of ADL than decompression laminectomy.We thus far conclude that the anterior decompression is more advisable for those that ossifications were localized below the C3-4 level in the cervical spine.
西日本整形・災害外科学会の論文