Long-Term Results after Multilevel Fusion of the Cervical Spine and the Cervicothoracic Junction: To Bridge or Not To Bridge?

2021 ◽  
Author(s):  
Christoph Scholz ◽  
Jan-Helge Klingler ◽  
Waseem Masalha ◽  
Marc Hohenhaus ◽  
Florian Volz ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Long Term Results ◽  
Cervicothoracic Junction ◽  
Multilevel Fusion

Long-Term Results of Occipitothoracic Fusion Surgery in RA Patients with Destruction of the Cervical Spine

2005 ◽  
Vol 18 (Supplement 1) ◽  
pp. S101-S106 ◽  
Author(s):  
Yukihiro Matsuyama ◽  
Noriaki Kawakami ◽  
Hisatake Yoshihara ◽  
Taichi Tsuji ◽  
Mitsuhiro Kamiya ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Long Term Results ◽  
Fusion Surgery

Long-term results of expansive open-door laminoplasty for ossification of the posterior longitudinal ligament of the cervical spine

2004 ◽  
Vol 1 (2) ◽  
pp. 168-174 ◽  
Author(s):  
Yuto Ogawa ◽  
Yoshiaki Toyama ◽  
Kazuhiro Chiba ◽  
Morio Matsumoto ◽  
Masaya Nakamura ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Cervical Myelopathy ◽  
Posterior Longitudinal Ligament ◽  
Clinical Results ◽  
Long Term Results ◽  
Open Door ◽  
Content Type ◽  
Anterior Posterior ◽  
Fine Print

Object. Numerous surgical procedures have been developed for treatment of ossification of the posterior longitudinal ligament (OPLL) of the cervical spine, and these can be performed via three approaches: anterior, posterior, or combined anterior—posterior. The optimal approach in cases involving OPLL-induced cervical myelopathy, however, remains controversial. To address this issue, the authors assessed the benefits and limitations of expansive open-door laminoplasty for OPLL-related myelopathy by evaluating mid- and long-term clinical results. Methods. Clinical results obtained in 72 patients who underwent expansive open-door laminoplasty between 1983 and 1997 and who were followed for at least 5 years were assessed using the Japanese Orthopaedic Association (JOA) scoring system. The mean preoperative JOA score was 9.2 ± 0.4; at 3 years postoperatively, the JOA score was 14.2 ± 0.3 and the recovery rate (calculated using the Hirabayashi method) was 63.1 ± 4.5%, both having reached their highest level. These favorable results were maintained up to 5 years after surgery. An increase in cervical myelopathy due to progression of the ossified ligament was observed in only two of 30 patients who could be followed for more than 10 years. Severe surgery-related complications were not observed. Preoperative JOA score, age at the time of surgery, and duration between onset of initial symptoms and surgery affected clinical results. Conclusions. Mid-term and long-term results of expansive open-door laminoplasty were satisfactory. Considering factors that affected surgical results, early surgery is recommended for OPLL of the cervical spine.

Anterior approach for traumatic lesions of the lower cervical spine: long-term results

2010 ◽  
Vol 54 (1) ◽  
pp. 3-12
Author(s):  
R. Cruz-Conde Delgado ◽  
A. Castel Oñate ◽  
F.J. Sánchez Benítez de Soto ◽  
B. Ríos García
Keyword(s):  
Cervical Spine ◽  
Anterior Approach ◽  
Long Term Results ◽  
Lower Cervical Spine ◽  
Traumatic Lesions

Long-term results after expansive open-door laminoplasty for the segmental-type of ossification of the posterior longitudinal ligament of the cervical spine: a comparison with nonsegmental-type lesions

2005 ◽  
Vol 3 (3) ◽  
pp. 198-204 ◽  
Author(s):  
Yuto Ogawa ◽  
Kazuhiro Chiba ◽  
Morio Matsumoto ◽  
Masaya Nakamura ◽  
Hironari Takaishi ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Posterior Longitudinal Ligament ◽  
Clinical Results ◽  
Long Term Results ◽  
Open Door ◽  
Intergroup Difference ◽  
Content Type ◽  
Fine Print ◽  
Group 1

Object. The segmental-type of ossification of the posterior longitudinal ligament (OPLL) of the cervical spine is distinct from other types in its morphological features. Whether the results of expansive open-door laminoplasty for the segmental-type are different from those for other types remains unclear. To clarify this issue, the long-term results after surgical treatment of segmental-type OPLL were compared with those of other types. Methods. Clinical results were documented in 57 patients who underwent expansive open-door laminoplasty and were followed for a minimum of 7 years, results were quantified using the Japanese Orthopaedic Association (JOA) scoring system to determine function. Segmental-type OPLL was observed in 10 patients (Group 1) and other types in 47 patients (Group 2). Preoperative JOA scores were not significantly different between the two groups. As many as 5 years after surgery, clinical results were favorable and maintained in both groups, and no significant intergroup difference in postoperative JOA scores was observed; however, after 5 years postoperatively, JOA scores decreased in both groups. The decrease was greater in Group 1, and a significant intergroup difference in JOA scores was demonstrated when analyzing final follow-up data. In Group 1, the authors found that the degree of late-onset deterioration relating to cervical myelopathy positively correlated with the cervical range of motion. Conclusions. The long-term results of expansive open-door laminoplasty in the treatment of segmental-type OPLL were inferior to those for other types. Cervical mobility may contribute to the development of late deterioration of cervical myelopathy.

Transoral Approach to Extradural Lesions of the Lower Clivus and Upper Cervical Spine: An Experience of 19 Cases

Neurosurgery ◽  
1989 ◽  
Vol 24 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Nicola Di Lorenzo
Keyword(s):  
Cervical Spine ◽  
Surgical Management ◽  
Transoral Approach ◽  
Long Term Results ◽  
Upper Cervical Spine ◽  
Ventral Aspect ◽  
Upper Cervical ◽  
Lower Clivus ◽  
Postoperative Instability

Abstract An experience with 19 cases of transoral exposure of the lower clivus and ventral aspect of the upper cervical spine is presented. The spectrum of pathological entities in this series includes malformative, neoplastic, and spondylotic conditions. The report is designed to focus upon some points of overall surgical management of patients treated by the transoral approach, with emphasis on management of postoperative instability, and to underline the discrepancy in the prognosis of congenital and acquired disorders, in terms of mortality, morbidity, and long-term results.

scholarly journals Long-term Results of Disc-height Change after Cervical Spine Anterolateral Vertebrectomy

2009 ◽  
Vol 23 (2) ◽  
pp. 189-194
Author(s):  
Tsukasa Nishiura ◽  
Hisakazu Itami ◽  
Tokuhisa Shindou ◽  
Mitsuhisa Nishiguchi ◽  
Noboru Kusaka ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Disc Height ◽  
Long Term Results ◽  
Height Change
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