Fate of Ossification of Posterior Longitudinal Ligament Following Anterior Cervical Fusion: Progression of Cervical Ossification of Posterior Longitudinal Ligament After Vertebral Body Sliding Osteotomy or Laminoplasty

Lee, Dong‐Ho; Nam, Woo Dong; Kim, Nam Yeop; Park, Jin Woo; Hong, Chul Gie

doi:10.1016/j.wneu.2020.11.142

Cited by 7 publications

(10 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 ). Two surgical options are considered in this context: laminectomy with fusion and laminoplasty [ 19 , 20 , 49 , 50 ]. The key difference between these methods lies in whether fusion is performed.…”

Section: Treatment Algorithmsmentioning

confidence: 99%

“…4 ). Previous studies have demonstrated that VBSO has advantages over corpectomy, notably in reducing the risks of dural tears and pseudarthrosis while effectively decompressing the spinal cord [ 36 , 37 , 49 , 74 ]. In addition to providing adequate decompression, VBSO has shown demonstrated results in restoring cervical lordosis and improving sagittal alignment ( Fig.…”

Section: Treatment Algorithmsmentioning

confidence: 99%

See 1 more Smart Citation

An Algorithmic Roadmap for the Surgical Management of Degenerative Cervical Myelopathy: A Narrative Review

Lee,

Riew

2024

Asian Spine J

Self Cite

View full text Add to dashboard Cite

Degenerative cervical myelopathy (DCM) is a leading cause of disability, and its surgical management is crucial for improving patient neurological outcomes. Given the varied presentations and severities of DCM, treatment options are diverse. Surgeons often face challenges in selecting the most appropriate surgical approach because there is no universally correct answer. This narrative review aimed to aid the decision-making process in treating DCM by presenting a structured treatment algorithm. The authors categorized surgical scenarios based on an algorithm, outlining suitable treatment methods for each case. Four primary scenarios were identified based on the number of levels requiring surgery and K-line status: (1) K-line (+) and ≤3 levels, (2) K-line (+) and ≥3 levels, (3) K-line (−) and ≤3 levels, and (4) K-line (−) and ≥3 levels. This categorization aids in determining the appropriateness of anterior or posterior approaches and the necessity for fusion, considering the surgical level and K-line status. The complexity of surgical situations and diversity of treatment methods for DCM can be effectively managed using an algorithmic approach. Furthermore, surgical techniques that minimize the stages and address challenging conditions could enhance treatment outcomes in DCM.

show abstract

Section: Treatment Algorithmsmentioning

confidence: 99%

Section: Treatment Algorithmsmentioning

confidence: 99%

An Algorithmic Roadmap for the Surgical Management of Degenerative Cervical Myelopathy: A Narrative Review

Lee,

Riew

2024

Asian Spine J

Self Cite

View full text Add to dashboard Cite

show abstract

“…14 Combined anterior and posterior approaches are required for special cases. 15 The anterior or posterior approach for isolated cervical OPLL is more traumatic, costly and has many complications. [16][17][18] With the development of spinal endoscopic techniques, anterior cervical endoscopic techniques continue to be utilized in the treatment of cervical disc herniation (CDH).…”

Section: Introductionmentioning

confidence: 99%

“…Posterior approaches include: posterior cervical laminoplasty, which is subdivided into open‐door and double‐door types, 7–9 or posterior laminectomy, which is subdivided into hemilaminectomy and total laminectomy; 8–10 anterior approaches include: anterior cervical corpectomy and fusion, 11 anterior cervical discectomy and fusion, 12 anterior cervical decompression with floating method, 13 and anterior controllable antedisplacement fusion 14 . Combined anterior and posterior approaches are required for special cases 15 . The anterior or posterior approach for isolated cervical OPLL is more traumatic, costly and has many complications 16–18 …”

Section: Introductionmentioning

confidence: 99%

Percutaneous Fully‐endoscopic Anterior Transcorporeal Procedure for the Treatment of Isolated Ossification of the Posterior Longitudinal Ligament in the Cervical Spine: A Case Report

Li,

Ao,

et al. 2023

Orthopaedic Surgery

View full text Add to dashboard Cite

BackgroundWith the development of spinal endoscopic techniques, on the basis of our previous experience in treating various types of cervical disc herniation with this endoscopic technique, we took the lead in applying the percutaneous fully endoscopic anterior transcorporeal procedure to be utilized in the treatment of the isolated cervical ossification of the posterior longitudinal ligament (OPLL).Case PresentationA 66‐year‐old male patient who weighed 57 kg, with a height of 169 cm was admitted to the hospital on September 16, 2021 because of recurrent pain and numbness in the neck, shoulder, and right arm for 2 years, which as aggravated for the last 2 weeks. Two years ago, the patient developed neck and shoulder pain accompanied by right arm pain without obvious predisposing factors, and numbness in the first web space of the right hand. In the last 2 weeks, he had difficulty moving the right arm, but no pain or numbness in the contralateral arm. MRI and CT scans demonstrated that the ossified posterior longitudinal ligament of the cervical 5/6 vertebrae with spinal canal stenosis and seriously compressed the spinal cord patient was treated with a percutaneous fully endoscopic anterior transcorporeal procedure.ConclusionOur percutaneous fully endoscopic anterior transcorporeal procedure is a feasible, minimally invasive surgery for treating isolated ossification of the posterior longitudinal ligament in the cervical spine.

show abstract

“…2 This technique has been shown to provide similar neurologic outcomes with fewer surgical complications compared with anterior cervical corpectomy and fusion. [2][3][4][5][6][7][8][9] In this surgical video, we demonstrated the VBSO technique in a step-by-step fashion and highlighted a slight modification in which a Caspar pin was used to control the mobile VBSO segment. This slight modification to the original technique potentially makes it easier and safer to manipulate the VBSO segment during the graft/cage insertion.…”

mentioning

confidence: 99%

Vertebral Body Sliding Osteotomy for theTreatment of Symptomatic Ossification of Posterior Longitudinal Ligament: 2-DimensionalOperative Video

Wong

Burke

Tan

2022

Operative Neurosurgery

View full text Add to dashboard Cite

Vertebral body sliding osteotomy (VBSO) is a very useful surgical technique used to treat cervical myelopathy due to ossification of the posterior longitudinal ligament (OPLL). 1 VBSO was introduced by Dr Dong-ho Lee as an alternative to the traditional anterior cervical corpectomy and fusion, which can be associated with a high incidence of surgical complications such as ventral cerebrospinal fluid leak. 2 The VBSO obviates the need for cervical corpectomy and reduces the number of surgery-related complications by translating the vertebral body along with the OPLL mass anteriorly, thereby decompressing the spinal cord without the need to separate the OPLL-dura interface, and therefore significantly reduces the risk of dural tear and cerebrospinal fluid leak. 2 This technique has been shown to provide similar neurologic outcomes with fewer surgical complications compared with anterior cervical corpectomy and fusion. [2][3][4][5][6][7][8][9] In this surgical video, we demonstrated the VBSO technique in a step-by-step fashion and highlighted a slight modification in which a Caspar pin was used to control the mobile VBSO segment. This slight modification to the original technique potentially makes it easier and safer to manipulate the VBSO segment during the graft/cage insertion. Spine surgeons should be familiar with the VBSO technique because it can help reduce surgical complications and improve clinical outcome in well-selected patients undergoing surgery for symptomatic OPLL. The patient consented to the surgery in this video.

show abstract

Fate of Ossification of Posterior Longitudinal Ligament Following Anterior Cervical Fusion: Progression of Cervical Ossification of Posterior Longitudinal Ligament After Vertebral Body Sliding Osteotomy or Laminoplasty

Cited by 7 publications

References 23 publications

An Algorithmic Roadmap for the Surgical Management of Degenerative Cervical Myelopathy: A Narrative Review

An Algorithmic Roadmap for the Surgical Management of Degenerative Cervical Myelopathy: A Narrative Review

Percutaneous Fully‐endoscopic Anterior Transcorporeal Procedure for the Treatment of Isolated Ossification of the Posterior Longitudinal Ligament in the Cervical Spine: A Case Report

Vertebral Body Sliding Osteotomy for theTreatment of Symptomatic Ossification of Posterior Longitudinal Ligament: 2-DimensionalOperative Video

Contact Info

Product

Resources

About