Addition of instrumented fusion after posterior decompression surgery suppresses thickening of ossification of the posterior longitudinal ligament of the cervical spine

M, Ota; Furuya, Takeo; Maki, Satoshi; Inada, Taigo; Kamiya, Koshiro; Ijima, Yasushi; Saito, Junya; Takahashi, Kazuhisa; Yamazaki, Masashi; Aramomi, Masaaki; Mannoji, Chikato; Koda, Masao

doi:10.1016/j.jocn.2016.06.013

Cited by 30 publications

(10 citation statements)

References 25 publications

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“…Ota et al [47] studied 50 patients with OPLL (46% laminoplasty and 54% posterior decompression and fusion). Preoperative CT scans demonstrated no significant radiographic differences between the 2 groups.…”

Section: Opll Growth and Fusion Surgerymentioning

confidence: 99%

“…Interestingly, several patients in the posterior decompression and fusion group not only demonstrated growth arrest of the ossified ligament but decreased thickness by more than 0.5 mm was observed as well. The investigators postulate that OPLL progression can occur from segmental motion and instrumented fusion may suppress OPLL progression by reducing cervical range of motion [47].…”

Section: Opll Growth and Fusion Surgerymentioning

confidence: 99%

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Does Ossification of the Posterior Longitudinal Ligament Progress After Fusion?

et al. 2019

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Starting in the 1960s, ossification of the posterior longitudinal ligament (OPLL) became more commonly diagnosed in Japan. The disease is characterized by a gradual increase in calcification of the posterior longitudinal ligament with the eventual sequelae of cervical canal stenosis and myelopathy. Surgical interventions to relieve stenosis and neurologic symptoms are performed to decompress the cervical canal. Studies demonstrate continued ossification of the OPLL in both nonsurgical and surgically treated patients. In this review, the authors evaluate the epidemiology, pathophysiology, and literature regarding disease progression in OPLL after cervical fusion.

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Section: Opll Growth and Fusion Surgerymentioning

confidence: 99%

Section: Opll Growth and Fusion Surgerymentioning

confidence: 99%

Does Ossification of the Posterior Longitudinal Ligament Progress After Fusion?

et al. 2019

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“…However, when the lesion occurs in the lower thoracic and lumbar spine, a fusion procedure should be considered to avoid postoperative progression of any residual ossified lesion and to avoid intervertebral instability [7, 15–17]. In our patient, bilateral facetectomy was unavoidable to completely remove the OYL lesion at L3/4; the OPLL at L4/5 was left untouched.…”

Section: Discussionmentioning

confidence: 88%

Lateral Lumbar Interbody Fusion for Ossification of the Yellow Ligament in the Lumbar Spine: First Reported Case

Fujii

Abe

Funayama

et al. 2017

Case Reports in Orthopedics

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When ossification of the yellow ligament (OYL) occurs in the lumbar spine and extends to the lateral wall of the spinal canal, facetectomy is required to remove all of the ossified lesion and achieve decompression. Subsequent posterior fixation with interbody fusion will then be necessary to prevent postoperative progression of the ossification and intervertebral instability. The technique of lateral lumbar interbody fusion (LLIF) has recently been introduced. Using this procedure, surgeons can avoid excess blood loss from the extradural venous plexus and detachment of the ossified lesion and the ventral dura mater is avoidable. We present a 55-year-old male patient with OYL at L3/4 and anterior spondylolisthesis of L4 vertebra, with concomitant ossification of the posterior longitudinal ligament, who presented with a severe gait disturbance. He underwent a 2-stage operation without complications: LLIF for L3/4 and L4/5 was performed at the initial surgery, and posterior decompression fixation using pedicle screws from L3 to L5 was performed at the second surgery. His postoperative progress was favorable, and his interbody fusion was deemed successful. Here, we present the first reported case of LLIF for OYL of the lumbar spine. This procedure can be a good option for OYL of the lumbar spine.

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“…Katsumi et al considered that the growth rate of OPLL was higher after LP than after LF, and LF could inhibit the progression of OPLL [25][26][27]. Therefore, LF is recommended in patients OPLL with OR of > 60%, which can not only obtain a good curative effect but also inhibit the progress of OPLL.…”

Section: Discussionmentioning

confidence: 99%

Radiological influencing factors of the effectiveness of posterior cervical surgery for multilevel ossification of the posterior longitudinal ligament

Cheng

Zhu

Zha

et al. 2021

Preprint

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Background In patients with multilevel cervical ossification of posterior longitudinal ligament (OPLL), whether radiological factors affect the efficacy of posterior cervical surgery and which posterior surgery is more suitable and better in patients with different imaging manifestations remain to be elucidated. Methods From January 2012 to January 2018, 141 patients with multi-segmental OPLL underwent posterior cervical surgery, including 73 cases of laminoplasty (LP group) and 68 cases of laminectomy with fusion (LF group). Clinical and radiological results were compared between the groups. Patients were followed up for at least 2 years. Results At the last follow-up, significant differences in neck disability index (NDI), cervical range of motion, and C2–C7 Cobb angle were found between the two groups (P < 0.05). In the cervical kyphosis, K-line-negative, and OPLL occupying ratio(OR) > 60% groups, the

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Addition of instrumented fusion after posterior decompression surgery suppresses thickening of ossification of the posterior longitudinal ligament of the cervical spine

Cited by 30 publications

References 25 publications

Does Ossification of the Posterior Longitudinal Ligament Progress After Fusion?

Does Ossification of the Posterior Longitudinal Ligament Progress After Fusion?

Lateral Lumbar Interbody Fusion for Ossification of the Yellow Ligament in the Lumbar Spine: First Reported Case

Radiological influencing factors of the effectiveness of posterior cervical surgery for multilevel ossification of the posterior longitudinal ligament

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