Transforaminal en bloc resection for the treatment of thoracic ossification of the ligamentum flavum: Retrospective cohort study

Wang, Chaohui; Cui, Wei-Liang; Xue, Jing-lai; Zhong, Lintao

doi:10.1016/j.ijsu.2017.12.039

Cited by 8 publications

(12 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The surgical method and steps were consistent with that reported in the literature [ 4 ]. To reduce the edema, inflammation and avoid neurological dysfunction, anti-inflammatory medication and neuronutrition were given after operation.…”

Section: Methodssupporting

confidence: 78%

“…The traditional surgical methods for TSS are laminotomy with or without fusion [ 4 , 11 ]. The procedures depends on general physical condition of patient and TSS type according to CT and MRI evaluation [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…The major studies show that conservative therapy is not effective in TSS with myelopathy to prevent the sequelae of spinal cord compression. Traditional open spinal decompression, involving spinous process and paraspinal muscle dissection, en bloc resection of lamina and removal of the intervertebral disc herniation and hyperplastic ligament, is the prevailing therapy [ 3 , 4 ]. Although with positive results, there are risks of kyphosis, the adjacent segment degeneration (ASD),and catastrophic neurological deterioration [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A comparison study of percutaneous endoscopic decompression and posterior decompressive laminectomy in the treatment of thoracic spinal stenosis

Cheng

Bian

Liu

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Percutaneous endoscopic decompression (PED) is considered a minimally invasive and safe procedure in lumbar degenerative disease. Few authors report the success of PED for thoracic spinal stenosis (TSS) with thoracic myelopathy. The objective of this study was to compare the outcome of PED versus posterior decompressive laminectomy (PDL) for TSS. Methods We retrospectively reviewed 30 consecutive patients who underwent surgery for single-level TSS from January 1, 2015 to May 1, 2019.These patients were divided into PED (n = 16) and PDL(n = 14) group. Preoperative demographic characteristics and perioperative outcomes were reviewed. Pre- and postoperative neurological status was evaluated using the modified Japanese Orthopaedic Association (mJOA) score and the recovery rate (RR). Results The patients’ mean age was 57.3 years (27–76) in PED group and 58.8 years (34–77) in PDL group. No statistical difference was found between two groups with regards to neurological status at pre-operative and final follow-up. The RR in PED group achieved the same improvement as PDL group (87.5% vs 85.7%, P > 0.05), while the PED brought advantages in operative time(m) (86.4 vs 132.1, p < 0.05), blood loss (mL) (18.21 vs 228.57, p < 0.05),drainage volume(mL) (15.5 vs 601.4, p < 0.05), and hospital stay (d) (3.6 vs 5.6, p < 0.05). Conclusions Both PED and PDL showed favorable outcome in the treatment of TSS. Besides, PED had advantages in reducing traumatization. In terms of perioperative quality of life, PED could be an efficient supplement to traditional posterior decompressive laminectomy in patients with TSS.

show abstract

Section: Methodssupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A comparison study of percutaneous endoscopic decompression and posterior decompressive laminectomy in the treatment of thoracic spinal stenosis

Cheng

Bian

Liu

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…The current surgical treatment methods include laminectomy and fenestration. Nevertheless, these methods usually need to invade the spinal canal and remove the ossified mass directly, which can damage the spinal cord [37]. The high risk of early complications such as neurological deficits and cerebrospinal fluid (CSF) leakage are also why it is hard to achieve satisfactory clinical outcomes using these surgical methods [6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Computer-Based 3D Simulations to Formulate Preoperative Planning of Bridge Crane Technique for Thoracic Ossification of the Ligamentum Flavum

Chen

Jia

et al. 2019

Med Sci Monit

View full text Add to dashboard Cite

BackgroundThe bridge crane technique is a novel surgical technique for the treatment of thoracic ossification of the ligamentum flavum (TOLF), but its preoperative planning has not been studied well, which limits the safety and efficacy of surgery to some extent. The purpose of this study was to investigate the method of application and effect of computer-aided preoperative planning (CAPP) on the bridge crane technique for TOLF.Material/MethodsThis retrospective multi-center included 40 patients with TOLF who underwent the bridge crane technique from 2016 to 2018. According to the utilization of CAPP, patients were divided into Group A (with CAPP, n=21) and Group B (without CAPP, n=19). Comparisons of clinical and radiological outcomes were carried out between the 2 groups.ResultsThe patients in Group A had higher post-mJOA scores and IR of neurological function than those in Group B (p<0.05). Group A had shorter surgery time, fewer fluoroscopic images, and lower incidence of complications than Group B. In Group A, there was a high consistency of all the anatomical parameters between preoperative simulation and postoperative CT (p>0.05). In Group B, there were significant differences in 3 anatomical parameters between postoperative simulation and postoperative CT (p<0.05). In Group B, the patients with no complications had higher post-SVOR and lower SVRR and height of posterior suspension of LOC in postoperative CT than those in postoperative simulation (p<0.05).ConclusionsCAPP can enable surgeons to control the decompression effect accurately and reduce the risk of related complications, which improves the safety and efficacy of surgery.

show abstract

“…For PDL group, the surgical procedure was performed as described below (en bloc decompression): The surgical method and steps were consistent with that reported in the literature [4]. To reduce the edema, in ammation and avoid neurological dysfunction, anti-in ammatory medication and neuronutrition were given after operation.…”

Section: Surgical Techniquementioning

confidence: 99%

A comparison study of percutaneous endoscopic decompression and posterior decompressive laminectomy in the treatment of thoracic spinal stenosis

Cheng

Bian

Liu

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Percutaneous endoscopic decompression (PED) is considered a minimally invasive and safe procedure in lumbar degenerative disease. Few authors report the success of PED for thoracic spinal stenosis (TSS) with thoracic myelopathy. The objective of this study was to compare the outcome of PED versus posterior decompressive laminectomy (PDL) for TSS.Methods: We retrospectively reviewed 30 consecutive patients who underwent surgery for single-level TSS from January 1, 2015 to May 1, 2019.These patients were divided into PED (n=16) and PDL(n=14) group. Preoperative demographic characteristics and perioperative outcomes were reviewed. Pre- and postoperative neurological status was evaluated using the modified Japanese Orthopaedic Association (mJOA) score and the recovery rate (RR).Results: The patients’ mean age was 57.3 years (27-76) in PED group and 58.8 years (34-77) in PDL group. No statistical difference was found between two groups with regards to neurological status at pre-operative and final follow-up. The RR in PED group achieved the same improvement as PDL group (87.5% vs 85.7%, P>0.05), while the PED brought advantages in operative time(m) (86.4 vs 132.1, p<0.05), blood loss (mL) (18.21 vs 228.57, p<0.05),drainage volume(mL) (15.5 vs 601.4, p<0.05), and hospital stay (d) (3.6 vs 5.6, p<0.05).Conclusions: Both PED and PDL showed favorable outcome in the treatment of TSS. Besides, PED had advantages in reducing traumatization. In terms of perioperative quality of life, PED could be an efficient supplement to traditional posterior decompressive laminectomy in patients with TSS.

show abstract

Transforaminal en bloc resection for the treatment of thoracic ossification of the ligamentum flavum: Retrospective cohort study

Abstract: Transforaminal en bloc resection is a safe and effective method for the treatment of thoracic ossification of the ligamentum flavum.

Cited by 8 publications

References 27 publications

A comparison study of percutaneous endoscopic decompression and posterior decompressive laminectomy in the treatment of thoracic spinal stenosis

A comparison study of percutaneous endoscopic decompression and posterior decompressive laminectomy in the treatment of thoracic spinal stenosis

Computer-Based 3D Simulations to Formulate Preoperative Planning of Bridge Crane Technique for Thoracic Ossification of the Ligamentum Flavum

A comparison study of percutaneous endoscopic decompression and posterior decompressive laminectomy in the treatment of thoracic spinal stenosis

Contact Info

Product

Resources

About