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《Chinese Journal of Difficult and Complicated Cases》 2008-09
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Treating ossification of the posterior longitudinal ligament by anterior multi vertebral subtotal vertebrectomy and bone graft fusion

WU Li-yong,PENG Jin-yun,LIU Cheng-zhao,et al.Department of No.4 Orthopaedic,Fujian Mindong Hospital,Fuzhou 355000,China  
Objective To analyze the effect of anterior multi vertebral subtotal vertebrectomy and bone graft fusion on cervical ossification of posterior longitudinal ligament(OPLL).Methods 14 patients with OPLL were treated by anterior multi vertebral subtotal vertebrectomy and bone graft fusion.The procedure underwent chisel a Bone Groove like flask by anterior decompression of cervical vertebrae with the technology of drills.The OPLL was removed in direct view.The graft bone was inserted with proper position under manual traction on the neck after decompression,and the plate was placed there.The situation of fusion and complication were recorded after operation.The rate of improvement and recovery were evaluated according to JOA score system and X-ray film.Rusults The mean time of following up was 10 months(range from 3 to 20 months).No complication were occurred,including nerve root paralysis and injury of spinal cord or vertebral artery injured.The bone fusion was observed about 4 months later.According to JOA score,8 cases(57.1%)recovery excellent,4 cases(28.6%)recovery well,and 2 cases(14.3%)improvement.Conclusion It proved that anterior multi vertebral subtotal vertebrectomy and bone graft fusion was pretty good to treating OPLL.
【CateGory Index】: R687.3
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