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Surgical options for ossification of the posterior longitudinal ligament of the cervical spine: a narrative review.
J Orthop Surg Res
November 2024
Department of Spinal Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, 116021, China.
Ossification of the posterior longitudinal ligament of the cervical spine (C-OPLL) is a degenerative disorder that leads to the narrowing of the spinal canal and compression of both the spinal cord and nerve roots. This condition is more prevalent in East Asian populations, with marked regional variations in incidence. Symptoms include neck pain, restricted movement, limb numbness, and motor impairment.
View Article and Find Full Text PDFLaminoplasty with foraminotomy versus anterior cervical discectomy and fusion for cervical myeloradiculopathy.
Spine J
December 2024
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. Electronic address:
Background Context: Anterior cervical discectomy and fusion (ACDF) combined with uncinate process resection and laminoplasty combined with foraminotomy (LPF) have been used to achieve cervical cord and root decompression in patients with combined cervical myeloradiculopathy (CMR).
Purpose: To compare the clinical and radiographic outcomes of ACDF with those of LPF for the treatment of CMR.
Study Design/setting: Propensity score-matched retrospective cohort study.
Unilateral hemilaminectomy vs. laminoplasty for the resection of spinal schwannomas: an analysis of 100 patients.
Front Neurol
May 2024
Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Objective: Spinal schwannomas are the most common intradural extramedullary tumors, and their complete removal is recommended to avoid tumor recurrence. Although laminoplasty provides a sufficient window for tumor resection, this approach may increase tissue trauma and cause postoperative instability compared with unilateral hemilaminectomy. This study aimed to compare the efficacy and clinical outcomes of the two approaches.
View Article and Find Full Text PDFSpinal Intradural Tumor Resection via Long-Segment Approaches and Clinical Long-Term Follow-Up.
Cancers (Basel)
May 2024
Department of Neurosurgery, School of Medicine, Technical University of Munich, 81675 Munich, Germany.
Introduction: Spinal intradural tumors account for 15% of all CNS tumors. Typical tumor entities include ependymomas, astrocytomas, meningiomas, and neurinomas. In cases of multiple affected segments, extensive approaches may be necessary to achieve the gold standard of complete tumor resection.
View Article and Find Full Text PDFDefining role of atlantoaxial and subaxial spinal instability in the pathogenesis of cervical spinal degeneration: Experience with "only-fixation" without any decompression as treatment in 374 cases over 10 years.
J Craniovertebr Junction Spine
March 2024
Department of Neurosurgery, R. N. Cooper Municipal General Hospital, Mumbai, India.
Article Synopsis
- - The study evaluates 374 cases of cervical radiculopathy/myelopathy linked to spinal degeneration, particularly focusing on spinal instability as a key factor in treatment.
- - All patients underwent a specific surgical stabilization technique without decompression procedures, primarily for arthrodesis of the affected cervical segments.
- - Follow-up results showed significant clinical improvement, especially in patients with severe myelopathy, with many regaining the ability to walk unassisted and no major repeat surgeries needed.
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