Iwasaki Motoki, Sakaura Hironobu, Fujimori Takahito, Yoshikawa Hideki, Okuda Shinya
Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine.
Clin Calcium. 2009 Oct;19(10):1486-92.
We retrospectively studied patients with cervical myelopathy due to OPLL to compare surgical outcome of anterior approach with that of laminoplasty. In patients with occupying ratio > or = 60%, the anterior approach yielded a better neurological outcome than laminoplasty. Although the anterior approach is technically demanding and has a higher incidence of surgery-related complications, it is preferable to laminoplasty for patients with occupying ratio of OPLL > or = 60%and/or hill-shaped ossification.
我们对因后纵韧带骨化症导致的脊髓型颈椎病患者进行了回顾性研究，以比较前路手术与椎板成形术的手术效果。在占位率≥60%的患者中，前路手术的神经功能恢复效果优于椎板成形术。尽管前路手术技术要求高且手术相关并发症发生率较高，但对于后纵韧带骨化症占位率≥60%和/或呈山形骨化的患者，前路手术比椎板成形术更可取。
