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《Medicine & Philosophy》 2012-11
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Posterior Cervical Enlarged Laminectomy for Multi-segmental Ossification of the Posterior Longitudinal Ligament

WANG Zhen-yu,SUN Yuan,WANG Qiang.Department of Orthopedics,Dalian Friendship Hospital,Dalian 116100,China  
To study the results of posterior cervical enlarged laminectomy for multi-segmental ossification of the posterior longitudinal ligament,totally 27 patients with multi-segmengtal cervical OPLL treated by posterior cervical enlarged laminectomy from august 2006 to august 2011 were investigated.There were 19 males and 8 females,with an average age of 63.6 years(ranged,48~82 years).JOA scoring system and the visual analogue scale(VAS) scoring were applied to evaluate the neurological function and neck/shoulder pain respectively.All cases were followed up for 3 months to 5 years(average 18 months).JOA score has improved from 10.2(5~14) preoperatively to 13.3(10~17) postoperatively(t=14.72,P0.01).The excellent and good rate was 88.9%.The palsy of C5 nerve root occurred in only 2 patients,both recovered after surgery.The mean postoperative VAS score was 1.9(1~3),comparing with the preoperative score 5.2(4~6).The pain in neck/shoulder was alleviated obviously(t=14.25,P0.01).Posterior cervical enlarged laminectomy is an effective method in treating multi-segmental cervical OPLL,in terms of significant posterior shift to the spinal cord,relief of cervical/shoulder pain,lower rate of the palsy of C5 nerve root.
【CateGory Index】: R687.3
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