Department of Neurological Surgery, Northwestern Memorial Hospital, 676 North Saint Clair, Chicago, IL 60611, USA.
Neurosurg Focus. 2011 Mar;30(3):E16. doi: 10.3171/2010.12.FOCUS10282.
The management of thoracic ossification of the posterior longitudinal ligament has been studied by many spinal surgeons. Indications for operative intervention include progressive radiculopathy, myelopathy, and neurological deterioration. The ideal surgery for decompression remains highly debatable as various methods of surgical treatment of ossification of the posterior longitudinal ligament have been devised. Although numerous modifications to the 3 main approaches have been identified (anterior, posterior, or lateral), the indication for each depends on the nature of compression, the morphology of the lesion, the level of the compression, the structural alignment of the spine, and the neurological status of the patient. The authors discuss treatment techniques for thoracic ossification of the posterior longitudinal ligament, cite case examples from a single institution, and review the literature.
许多脊柱外科医生研究了胸段后纵韧带骨化的治疗方法。手术干预的指征包括进行性根性神经病、脊髓病和神经功能恶化。减压的理想手术方法仍然存在很大争议，因为已经设计了各种治疗后纵韧带骨化的手术方法。尽管已经确定了对 3 种主要方法（前路、后路或侧路）进行了许多改进，但每种方法的适应证取决于压迫的性质、病变的形态、压迫的水平、脊柱的结构排列和患者的神经状态。作者讨论了胸段后纵韧带骨化的治疗技术，引用了单一机构的病例，并复习了文献。
