Long-term Follow-up After Open-window Corpectomy in Patients With Advanced Cervical Spondylosis and/or Ossification of the Posterior Longitudinal Ligament

Özer, Ali Fahir; Öktenoğlu, Tunç; Çoşar, Murat; Sasani, Mehdi; Sarıoğlu, Ayşe

doi:10.1097/bsd.0b013e31815f49fe

Cited by 12 publications

(4 citation statements)

References 20 publications

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“…7 Therefore, numerous reports address the best timing of surgery, as well as the choices of surgical approaches. 1,9,10,13,17 In the current cohort, 67.2% of patients received surgical treatment, of whom more than half (55.2%) were via an anterior-only approach, 31.8% were via a posterioronly approach, and 13.0% had a combined anterior and posterior approach. It has always been a classic debate regarding the best surgical approach for such patients with regard to fewer complications and better outcomes.…”

Section: Discussionmentioning

confidence: 99%

Ossification of the posterior longitudinal ligament in the cervical spine: an 11-year comprehensive national epidemiology study

Liu

Chen

et al. 2011

FOC

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Object This study aimed to calculate the incidence and prevalence of ossification of the posterior longitudinal ligament (OPLL) in the cervical spine with its comorbid disability. Methods Using an 11-year nationwide database in Taiwan (National Health Insurance Research Database), this retrospective study cohort analyzed the incidences of cervical OPLL causing hospitalization. All patients admitted for the diagnosis of OPLL, regardless of surgery, were identified. Age- and sex-specific incidences, Poisson regression, and multivariate logistic regression analysis were conducted. Results Between 1997 and 2007 covering 241,800,725.8 person-years, 1651 patients were admitted for OPLL. The overall incidence of OPLL-related admission was 6.1 per 1 million person-years. Specifically, male sex and older age were associated with higher OPLL incidences (both p < 0.001). Among the 1651 OPLL patients, 542 (32.8%) received conservative management, 612 (37.1%) had anterior only surgery, 353 (21.4%) had posterior only surgery, and 144 (8.7%) had anterior and posterior surgery. Eighty-five patients were moderately to severely disabled (5.2% cumulative incidence rate). The incidences of disability varied by age, in a decreasing trend, except for the 60- to 69-year-old age group (p = 0.05). Patients who received posterior-only surgery were more likely to have disability. Conclusions In a large cohort of the Chinese population, the incidence of cervical OPLL-related admission is 6.1 per 1 million person-years, and the prevalence rate is 7.7 per 100,000 person-years. Higher incidences are observed in elderly and male patients, which implies the disease's degenerative nature. After adjustments for demographics, the incidences and trends of OPLL-related comorbid disability are associated with age and surgical approaches.

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Section: Discussionmentioning

confidence: 99%

Ossification of the posterior longitudinal ligament in the cervical spine: an 11-year comprehensive national epidemiology study

Liu

Chen

et al. 2011

FOC

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“…This technique creates a more stable construct with 3-point fixation and offers better load sharing among implants and healthy vertebrae. Ozer et al 104 reported satisfactory clinical and radiological outcomes in patients with cervical OPLL after using this technique.…”

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confidence: 99%

Ossification of the posterior longitudinal ligament: a review

Saetia

Cho

Lee

et al. 2011

FOC

122

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Ossification of the posterior longitudinal ligament (OPLL) is most commonly found in men, the elderly, and Asian patients. There are many diseases associated with OPLL, such as diffuse idiopathic skeletal hyperostosis, ankylosing spondylitis, and other spondyloarthropathies. Several factors have been reported to be associated with OPLL formation and progression, including genetic, hormonal, environmental, and lifestyle factors. However, the pathogenesis of OPLL is still unclear. Most symptomatic patients with OPLL present with neurological deficits such as myelopathy, radiculopathy, and/or bowel and bladder symptoms. There are some reports of asymptomatic OPLL. Both static and dynamic factors are related to the development of myelopathy. Plain radiography, CT, and MR imaging are used to evaluate OPLL extension and the area of spinal cord compression. Management of OPLL continues to be controversial. Each surgical technique has some advantages and disadvantages, and the choice of operation should be made case by case, depending on the patient's condition, level of pathology, type of OPLL, and the surgeon's experience. In this paper, the authors attempt to review the incidence, pathology, pathogenesis, natural history, clinical presentation, classification, radiological evaluation, and management of OPLL.

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“…Özer ve ark. 20 2009 yılında, yaptıkları olguların uzun dönem sonuçlarını yayınladılar ve çoklu seviyeyi tutan SSMR'de iyi bir alternatif yöntem olduğunu belirtmişlerdir.…”

Section: A 3bunclassified

Servikal Spondilotik Myeloradikülopati"nin Cerrahi Tedavisinde Anterior Yaklaşımın Seçilme Nedenleri

Gezercan¹,

Özsoy²,

Çetinalp³

et al. 2014

Cukurova Medical Journal

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ÖZETServikal spondilosis; servikal intervertebral diskte başlayıp, daha sonra çevre kemik ve yumuşak dokularda devam eden, ilerleyici, süreğen ve sinsi bir dejeneratif hastalıktır. Bu dejeneratif değişikliklere bağlı omurilik ve sinir kökü tutulumu olur ise servikal spondilotik myeloradikülopati (SSMR) olarak isimlendirilir ve 50 yaş üzerinde myelopatinin en sık sebebidir.İlerleyici ve fonksiyonel nörolojik defisite sahip olan olgular ile uzun süreli tanı almış ve konservatif tedaviye yanıt vermeyen yakınmaları bulunan olguların cerrahi olarak tedavi edilmeleri gerekir. Cerrahi tedavinin amacı omurilik ve sinir kökleri üzerindeki basıyı ortadan kaldırmak, servikal omurganın dizilimini korumak veya bozulmuş ise bunu yeniden oluşturmak, hastanın nörolojik bulgularını ve yakınmalarını ortadan kaldırarak yaşam kalitesini artırmak ve bunları yaparken de mümkün olduğu kadar komplikasyona neden olmamaktır. Bu hedefler servikal omurgaya anterior veya posterior cerrahi yaklaşım yolları ile sağlanabilir.Cerrahi yaklaşımın şekline ancak hastanın klinik ve radyolojik olarak çok ayrıntılı değerlendirilmesi ile karar verilebilir.Cerrahi yaklaşımın en büyük amacı olan yeterli nöral dekompresyon ve servikal dizilimin korunması/sağlanması en iyi anterior yaklaşımlar ile sağlanabilir.Bu çalışmamızda SSMR'nin cerrahi tedavisinde anterior yaklaşımın tercih edilme sebepleri özetlenecektir. Key Words: Servikal, spondilosis, cerrahi tedavi, anterior yaklaşım, posterior yaklaşım. ABSTRACTCervical spondylosis is a progressive, chronic and insidious degenerative disease, which origins from the cervical intervertebral disc and then diffuses to surrounding bony and soft tissues. If the spine and nerve roots are involved due to degenerative changes, this is called as cervical spondylotic myeloradiculopathy (CSMR) and it is the most frequent cause of myelopathy over age of 50. Cases with progressive character and functional neurological deficits and cases with a prolonged course refractory to conservative therapy shall be treated surgically. The aim of the surgical treatment is to relieve the pressure on the spinal cord and nerve roots, to preserve the proper anatomical alignment of the cervical vertebrae or to reestablish correct anatomical positioning if it is distorted and lastly to increase the life quality by relieving patients neurological signs and complaints. While achieving these goals, complications shall be avoided as much as possible. These goals can be accomplished by anterior or posterior surgical approaches to the cervical vertebrae. The style of the surgical approach can only be decided by a detailed evaluation of the patient's clinical and radiological features. The utmost aim of the surgical procedure, which is to achieve sufficient neurological decompression and to preserve/establish proper cervical vertebral alignment, can be provided best by anterior approaches. In our current study, the criteria to prefer anterior approach in surgical treatment of CSMR will be reviewed. Anahtar Kelimeler:Cervical, spondylosis, surgical ...

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Long-term Follow-up After Open-window Corpectomy in Patients With Advanced Cervical Spondylosis and/or Ossification of the Posterior Longitudinal Ligament

Cited by 12 publications

References 20 publications

Ossification of the posterior longitudinal ligament in the cervical spine: an 11-year comprehensive national epidemiology study

Ossification of the posterior longitudinal ligament in the cervical spine: an 11-year comprehensive national epidemiology study

Ossification of the posterior longitudinal ligament: a review

Servikal Spondilotik Myeloradikülopati"nin Cerrahi Tedavisinde Anterior Yaklaşımın Seçilme Nedenleri

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