Department of Neurosurgery, Northwestern Memorial Hospital, 251 East Huron Street, Chicago, IL 60611, USA.
Neurosurg Focus. 2011 Mar;30(3):E12. doi: 10.3171/2011.1.FOCUS10278.
The surgical management of compressive cervical ossification of the posterior longitudinal ligament (OPLL) can be challenging. Traditionally, approach indications for decompression of cervical spondylotic myelopathy have been used. However, the postoperative complication profile after cervical OPLL decompression is unique and may require an alternative approach paradigm. The authors review the literature on approach-related OPLL complications and suggest a management strategy for patients with single- or multiple-segment OPLL with or without greater than 50% canal stenosis.
颈椎后纵韧带骨化症（OPLL）的手术治疗具有一定挑战性。传统上，颈椎脊髓型颈椎病减压的手术入路适应证也适用于颈椎 OPLL。然而，颈椎 OPLL 减压术后的并发症谱是独特的，可能需要采用替代的手术入路方案。作者复习了与手术入路相关的 OPLL 并发症的文献，并提出了一种治疗策略，适用于有或无大于 50%椎管狭窄的单节段或多节段 OPLL 患者。
