TY - JOUR
T1 - Minimally invasive central corpectomy for ossified posterior longitudinal ligament in the cervical spine
AU - Hirano, Yoshitaka
AU - Mizuno, Junichi
AU - Nakagawa, Hiroshi
AU - Itoh, Yasunobu
AU - Kubota, Keiichi
AU - Watanabe, Sadayoshi
AU - Matsuoka, Hidenori
AU - Numazawa, Shinichi
AU - Tomii, Masato
AU - Watanabe, Kazuo
PY - 2011/1
Y1 - 2011/1
N2 - Minimally invasive central corpectomy (MICC) for cervical segmental ossified posterior longitudinal ligament (OPLL) is described. The procedure of MICC includes upper- or lower-half central corpectomy of the involved cervical spine, transdiscal decompression of the adjacent disc level, dissection and partial removal of the OPLL, removal of the OPLL behind the vertebral body via these windows, and fusion with cylindrical titanium cages. Anterior plate fixation is not necessary. From January 2008 to December 2009 we surgically treated three patients with cervical OPLL by MICC. All three patients showed remarkable improvement of their symptoms within a few days after the operation. No neurological or radiological complication was observed during that period. MICC is beneficial in avoiding complete corpectomy and long fusion, usage of an anterior plate, and usage of a large external orthosis. MICC also reduces the risk of postoperative esophageal perforation due to a screw backing out of the plate.
AB - Minimally invasive central corpectomy (MICC) for cervical segmental ossified posterior longitudinal ligament (OPLL) is described. The procedure of MICC includes upper- or lower-half central corpectomy of the involved cervical spine, transdiscal decompression of the adjacent disc level, dissection and partial removal of the OPLL, removal of the OPLL behind the vertebral body via these windows, and fusion with cylindrical titanium cages. Anterior plate fixation is not necessary. From January 2008 to December 2009 we surgically treated three patients with cervical OPLL by MICC. All three patients showed remarkable improvement of their symptoms within a few days after the operation. No neurological or radiological complication was observed during that period. MICC is beneficial in avoiding complete corpectomy and long fusion, usage of an anterior plate, and usage of a large external orthosis. MICC also reduces the risk of postoperative esophageal perforation due to a screw backing out of the plate.
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U2 - 10.1016/j.jocn.2010.05.024
DO - 10.1016/j.jocn.2010.05.024
M3 - Article
C2 - 20888772
AN - SCOPUS:78650177522
VL - 18
SP - 131
EP - 135
JO - Journal of Clinical Neuroscience
JF - Journal of Clinical Neuroscience
SN - 0967-5868
IS - 1
ER -