Multisegmental cervical ossification of the posterior longitudinal ligament: anterior vs posterior approach.

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dc.contributor.authorJain, Subodh Ken_US
dc.contributor.authorSalunke, Pravin Sen_US
dc.contributor.authorVyas, K Hen_US
dc.contributor.authorBehari, Sanjay Sen_US
dc.contributor.authorBanerji, Deepuen_US
dc.contributor.authorJain, Vijendra Ken_US
dc.date.accessioned2005-09-19en_US
dc.date.accessioned2009-06-03T12:23:17Z
dc.date.available2005-09-19en_US
dc.date.available2009-06-03T12:23:17Z
dc.date.issued2005-09-19en_US
dc.description.abstractAIMS: To determine the surgical approach in patients with multisegmental (four or more segments) OPLL of the cervical spine. METHODS AND MATERIALS: Data of 27 patients who had undergone either an anterior (corpectomy with excision of OPLL and interbody fusion = 14 patients) or posterior approach (laminectomy = 12, laminoplasty = 1 patient) for the multisegmental cervical OPLL was analyzed retrospectively. The patients in each group were statistically similar in respect to preoperative factors such as age, duration of symptoms, preoperative modified Japanese orthopedic association score, OPLL thickness, effective canal diameter, and antero-posterior cord compression ratio. The clinical outcome was assessed by the Harsh grading system and recovery rate was assessed by Hirabayashi method. RESULTS: There was no statistical difference in the outcome, and recovery rate. Nine patients developed complications after anterior approach in contrast to one after posterior approach. CONCLUSIONS: In patients with multisegmental cervical OPLL, there was no significant difference in the short-term recovery rate and outcome between two groups. The immediate postoperative complications were less in patients who had undergone posterior approach. From our analysis, it appears that the posterior approach is probably the preferred method of treatment in a multisegmental OPLL in absence of preoperative kyphosis.en_US
dc.description.affiliationDepartment of Neurosurgery, Sanjay Gandhi Post Graduate Institute Of Medical Sciences, Lucknow, Uttar Pradesh, India. vkjain@sgpgi.ac.inen_US
dc.identifier.citationJain SK, Salunke PS, Vyas KH, Behari SS, Banerji D, Jain VK. Multisegmental cervical ossification of the posterior longitudinal ligament: anterior vs posterior approach. Neurology India. 2005 Sep; 53(3): 283-5; discussion 286en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/121520
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLongitudinal Ligaments --pathologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOssification, Heterotopic --surgeryen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleMultisegmental cervical ossification of the posterior longitudinal ligament: anterior vs posterior approach.en_US
dc.typeJournal Articleen_US
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