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《The Orthopedic Journal of China》 2002-04
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Cervical Ossification of Posterior Longitudinal Ligament Treated by Subtotal Vertebrectomy with Fusion

YANG Qing guo,JIANG Shu,ZHANG Jian xiang,et al.Department of Orthopaedics,the First Affiliated Hospital of Anhui Medical University,Hefei 230022  
Objective: To analyze follow up results on anterior subtotal vertebrectomy and fusion for cervical ossification of posterior longitudinal ligament.Methods:75 patients were treated by this procedure.There were 45 males and 30 females.The age of the patients ranged from 42 to 64 (average 51.6).29 patients underwent one vertebral subtotal vertebrectomy with fusion,39 two vertebral subtotal vertebrectomy with fusion,7 three vertebral subtotal vertebrectomy with fusion.An electric drill with a 5mm burr was used to drill a trench 18 to 20 mm in width through the medial portion of the involved vertebral bodies.The base of decompressive trench should reach the anteromedial parts of the pedicles.The ossification of posterior longitudinal ligament was removed in direct view.The graft is inserted and impacted with the proper position under manual traction on the neck.The rate of recovery was assessed according to JOA Score System.Bone union of the graft was decided according to the posteroanterior and lateral roentgenogram.Result:68 of the 75 patients operated on have been followed up for a mean period of 31 months(range 3 to 74 months).In the one vertebral subtotal vertebrectomy and the two vertebral subtotal vertebrectomy groups,interbody fusion was gained about 3 to 4 months after operation.In the three vertebral subtotal vertebrectomy group,about 5 to 6 months after operation.The excellent and good rate was 85.3% and mean recovery rate was 70.8%.Conclusion:Subtotal vertebrectomy with fusion provided spacious and clear operation field and excellent exposure was of paramount importance for excision of ossified postetrior longitudinal ligament,so that decompression of spinal cord tended to be perfect.
【CateGory Index】: R686.5
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