A Modified Laminoplasty Technique to Treat Cervical Myelopathy Secondary to Ossification of the Posterior Longitudinal Ligament (OPLL)
| Autor: | Libiao Xu, Wc Chen, Xigao Cheng, Jy Jia, Tianlong Wu |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Neurological function Uterine Cervical Neoplasms Ossification of Posterior Longitudinal Ligament Spinal Cord Diseases Laminoplasty 03 medical and health sciences Myelopathy 0302 clinical medicine Blood loss Recovery rate Osteogenesis Clinical Research medicine Humans Aged Retrospective Studies 030222 orthopedics business.industry Significant difference Laminectomy Ossification of the posterior longitudinal ligament Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery Longitudinal Ligaments Spinal Fusion Treatment Outcome Cervical Vertebrae Female business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
| ISSN: | 1643-3750 |
| Popis: | BACKGROUND This study aimed to evaluate the validity of modified laminoplasty in treating close-base OPLL with an occupying ratio of more than 60%. MATERIAL AND METHODS Forty-seven close-base OPLL patients with an occupying ratio of more than 60% were treated through modified laminoplasty (N=22) and combined anterior-posterior approach (N=25) in the study, including 17 females and 30 males, with a mean age of 60.59±6.76 years (ranging from 46 to 75 years). The patients' characteristics, the recovery rate of neurological function, length of the operation, intraoperative blood loss, hospital costs, and complications were recorded and compared between the 2 groups. RESULTS The recovery rate of neurological function did not demonstrate a significant difference between the 2 groups (P=0.886). However, length of the operation and intraoperative blood loss in the modified laminoplasty group were shorter than those in the combined anterior-posterior approach group (P=0.001 and P=0.023). Moreover, the mean hospital costs in the modified laminoplasty group (5166.61±123.27 USD) decreased by 33.6% compared with the combined anterior-posterior approach group (7780.12±256.73 USD). Additionally, the complications of the modified laminoplasty group were lower than in the combined anterior-posterior approach group. CONCLUSIONS Modified laminoplasty may be considered a safe and effective strategy for patients that have demonstrated close-base OPLL with an occupying ratio of more than 60% and who cannot endure the trauma caused by the combined anterior-posterior approach due to medical disease. |
| Databáze: | OpenAIRE |
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