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Ossification of the Posterior Longitudinal Ligament in Cervical Spine: Prevalence, Management, and Prognosis
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Type
Academic journal
Author
Jau-Ching Wu (Taipei Veterans General Hospital) Yu-Chun Chen (National Yang-Ming University) Wen-Cheng Huang (Taipei Veterans General Hospital)
Journal
The Korean Spinal Neurosurgery Society Neurospine 대한척추신경외과학회지 제15권 제1호
Published
2018.1
Pages
33 - 41 (9page)

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Ossification of the Posterior Longitudinal Ligament in Cervical Spine: Prevalence, Management, and Prognosis
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Ossification of the posterior longitudinal ligament (OPLL) in the cervical spine and related neurological complications are not uncommon in East Asian countries. The estimated prevalence of cervical OPLL-related hospitalization is 7.7 per 100,000 person-years in Taiwan, and higher incidence rates have been observed in elderly and male patients. Although cervical OPLL is frequently insidious, it can eventually cause myelopathy and predispose patients to spinal cord injury (SCI). There are multiple options for managing cervical OPLL, ranging from observation to many kinds of surgical procedures, including posterior laminoplasty, laminectomy with or without fusion, anterior corpectomy with or without instrumentation, and circumferential decompression and fusion. None of these surgical approaches is free of complications. However, to date, there is still a lack of consensus regarding the choice of the surgical approach and the timing of surgical intervention. Cervical SCI and related neurological disabilities are more likely to occur in OPLL patients, who should therefore be cautioned regarding the possibility of a subsequent SCI if treated without surgery. This article aimed to review the prevalence, management strategies, and prognosis of cervical OPLL.

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References (65)

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Wu JC / 2011 / Ossification of the posterior longitudinal ligament in the cervical spine: an 11-year comprehensive national epidemiology study / Neurosurg Focus 30:E5 google schola Wu JC / 2012 / Conservatively treated ossification of the posterior longitudinal ligament increases the risk of spinal cord injury: a nationwide cohort study / J Neurotrauma 29:462~468 Crossref Chang HC / 2016 / Hybrid corpectomy and disc arthroplasty for cervical spondylotic myelopathy caused by ossification of posterior longitudinal ligament and disc herniation / World Neurosurg 95:22~30 Crossref Chen LF / 2016 / Risk of spinal cord injury in patients with cervical spondylotic myelopathy and ossification of posterior longitudinal ligament: a national cohort study / Neurosurg Focus 40:E4 google schola Meyer SA / 2011 / Laminoplasty outcomes: is there a difference between patients with degenerative stenosis and those with ossification of the posterior longitudinal ligament? / Neurosurg Focus 30:E9 google schola

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