Surgical treatment of ossification of the posterior longitudinal ligament and its outcomes: Posterior surgery by laminoplasty

Morio Matsumoto, Kazuhiro Chiba, Yoshiaki Toyama

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Study Design: Review article. Objective: To discuss the history, indication, surgical outcomes, prognostic factors, and complications of laminoplasty for ossification of the posterior longitudinal ligament (OPLL) of the cervical spine. Summary of Background Data: OPLL usually requires surgery, which often involves indirect decompression by the posterior approach. Of the posterior procedures for OPLL, laminoplasty is the favored treatment. Here, we review the previously published literature on laminoplasty for OPLL. Methods: PubMed and previously published English and Japanese book chapters were searched for posterior procedures for treating OPLL. Results: There is a large body of literature on OPLL and its treatment. Based on a review of the literature, the history, indication, surgical outcomes, prognostic factors, and complications of laminoplasty for OPLL were examined. The results showed that long-term outcomes of both the open-door and double-door types of laminoplasty are favorable, although late neurological deterioration occurs in some patients. Preoperative kyphosis of the cervical spine and severe (>60%) compromise of the spinal canal by OPLL appear to be the limiting factors for the indication of laminoplasty. Complications of laminoplasty include segmental motor palsy, lamina closure, and axial symptoms. Conclusion: Laminoplasty is a feasible surgical option for OPLL if candidate patients are appropriately selected.

Original languageEnglish
JournalSpine
Volume37
Issue number5
DOIs
Publication statusPublished - 2012 Mar 1

Fingerprint

Ossification of Posterior Longitudinal Ligament
Therapeutics
History
Kyphosis
Spinal Canal
Laminoplasty
Decompression
PubMed
Paralysis
Spine

Keywords

  • laminoplasty
  • Ossifi cation of posterior longitudinal ligament
  • outcome
  • posterior surgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Surgical treatment of ossification of the posterior longitudinal ligament and its outcomes : Posterior surgery by laminoplasty. / Matsumoto, Morio; Chiba, Kazuhiro; Toyama, Yoshiaki.

In: Spine, Vol. 37, No. 5, 01.03.2012.

Research output: Contribution to journalArticle

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