Volume : VIII, Issue : III, March - 2019

SURGICAL OUTCOME IN PATIENTS WITH CERVICAL OSSIFIED POSTERIOR LONGITUDINAL LIGAMENT: OUR INSTITUTIONAL EXPERIENCE.

K. Satyavaraprasad, D. Ravi, P. Kishore

Abstract :

Objective: Posterior longitudinal ligament ossification has multiple factors for its disease occurrence. The metabolic and biomechanical factors are the main factors causing the disease process. The role of surgical intervention as well as ambiguity of whether anterior or posterior approach is a matter of debate. Postoperative functional improvement and assessment of surgical outcome are the objectives of the study. Materials and Methods: This is a prospective study which included 44 patients of cervical OPLL who underwent either anterior or posterior surgery in Department of Neurosurgery, Andhra Medical College, Visakhapatnam between August 2016 to July 2018 over a period of two years. Patient’s data including age, sex, pre and post operative functional status, radiographic findings and OPLL subtypes were analyzed. Results: The disease process was common in age group of 41–50 years involving 12 women and 32 men. Out of 44 patients, 13 patients underwent surgery by anterior approach (corpectomy and fusion) of which 9 improved, 3 were of same neurological status and 1 deteriorated. 31 patients underwent surgery by posterior approach where decompressive laminectomy with instrumentation was done. Of those who underwent posterior surgery, 17 patients improved, 11 remained the same as their preoperative status and 3 patients deteriorated. The mean pre–operative Nurick grade was 2.8 which later on improved to 2.15 post surgery. Conclusion: Anterior cervical median corpectomy, fusion with plate is a better modality of treatment for cervical spondylotic myelopathy in single or two levels OPLL. Posterior decompressive laminectomy and lateral mass fixation is better in a setting of more than three levels of OPLL

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

SURGICAL OUTCOME IN PATIENTS WITH CERVICAL OSSIFIED POSTERIOR LONGITUDINAL LIGAMENT: OUR INSTITUTIONAL EXPERIENCE., K.Satyavaraprasad, D.Ravi, P.Kishore INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-3 | March-2019

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