Safety and efficacy of a novel anterior decompression technique for ossification of posterior longitudinal ligament of the cervical spine
Journal of the American Academy of Orthopedic Surgeons Apr 17, 2020
Lee DH, Riew KD, Choi SH, et al. - This research was attempted to assess the efficacy and safety of vertebral body sliding osteotomy (VBSO) vs those of standard anterior cervical corpectomy and fusion (ACCF). This study included individuals requiring surgery for cervical ossification of the posterior longitudinal ligament (OPLL) who had undergone VBSO (24 patients) or ACCF (38 patients). Researchers assessed operating time, estimated blood loss, neurologic outcomes, complications, and various radiographic parameters. A shorter mean operating time and less estimated blood loss were noted by the VBSO group compared with ACCF group. They reported that in the ACCF group, 16 patients experienced various complications, namely neurologic deficit (two patients), cerebrospinal fluid leakage (four patients), graft migration (three patients), and pseudarthrosis (seven patients). Only pseudarthrosis was reported (two patients) in the VBSO group. Compared with ACCF, with a shorter operating time, VBSO serves similar neurologic outcomes and less bleeding. Between the OPLL and dura mater, surgeons do not necessary to directly manipulate the OPLL mass or dissect the interspace. Thus, the incidence of surgery-related complications may be reduced by this method.
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