Surgical Management of Cervical Ossification of Posterior Longitudinal Ligament: The Treatment Algorithm and Outcome.

Autor:	Ng BW; Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia (UKM) Medical Centre, Kuala Lumpur, MYS.; Orthopaedics and Traumatology, Hospital Pakar Kanak-Kanak Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, MYS., Tan JA; Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia (UKM) Medical Centre, Kuala Lumpur, MYS., Sabri S; Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia (UKM) Medical Centre, Kuala Lumpur, MYS., Baharuddin A; Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia (UKM) Medical Centre, Kuala Lumpur, MYS., Muhamad Ariffin MH; Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia (UKM) Medical Centre, Kuala Lumpur, MYS.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Mar 22; Vol. 15 (3), pp. e36517. Date of Electronic Publication: 2023 Mar 22 (Print Publication: 2023).
DOI:	10.7759/cureus.36517
Abstrakt:	Introduction Managing patients who present with symptoms of cervical myelopathy secondary to cervical ossification of the posterior longitudinal ligament (OPLL) is challenging. Various factors such as the number of levels involved with OPLL, types of OPLL, canal occupying ratio, K-line characteristics, and C2-C7 lordosis angle were found to guide decision-making and surgical approaches in managing this condition. However, no clear treatment algorithm has been published. This study aims to investigate the outcome of the management of cervical OPLL using a treatment algorithm used in a tertiary university hospital. Methods This is a retrospective cross-sectional study. Patients with cervical myelopathy secondary to cervical OPLL who were treated surgically in our center from 2014 to 2020 were included in this study. Demographic data and preoperative parameters that determined the treatment given according to our treatment algorithm were analyzed. Result A total of 24 patients fit the inclusion and exclusion criteria of the study. The mean recovery rate for all groups is 61.8[Formula: see text]21.9% and the mean postoperative neck disability index (NDI) is 17.83[Formula: see text]16.67%. There was a statistically significant difference between preoperative and postoperative Japanese Orthopaedic Association (JOA) scores for both anterior and posterior surgery subgroups. Conclusion We believe that the treatment algorithm used in our center could benefit other surgeons as a guide in managing patients who suffer from cervical myelopathy secondary to cervical OPLL. Further study including newer techniques would increase the surgeon's arsenal in providing the best outcome in managing this condition. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Ng et al.)
Databáze:	MEDLINE
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