Thoracic anterior controllable antedisplacement fusion for thoracic ossification of the posterior longitudinal ligament: A case report.

IF 2 Q2 ORTHOPEDICS
Xing-Yu Jin, Hua-Zheng Wang, Kai Yang, Yu Bao, Ye Wang, Xing-Lei Ben, Hai-Yan Sun
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引用次数: 0

Abstract

Background: Thoracic ossification of the posterior longitudinal ligament (T-OPLL) is caused by the ossified posterior longitudinal ligament occupying space in the spinal canal, which causes compression of the thoracic spinal cord. Surgical treatment is difficult, risky and complicated; thus, clinical treatment is difficult at present.

Case summary: A case of severe multi-segmental T-OPLL treated with thoracic anterior controllable antedisplacement fusion (TACAF) is reported, including the surgical procedures and analysis of the clinical data. The modified-Japanese Orthopaedic Association score in this patient was 4 before surgery, and it was raised to 9 after the operation. The symptoms of spinal canal compression were subsequently relieved. Three months after surgery, digital radiography showed good healing and recovery of limb sensory function.

Conclusion: This case report suggests that TACAF is feasible for the treatment of long-segment T-OPLL, and has the advantages of low risk and reduced trauma. However, this operation still needs to be verified by clinical research with a larger sample size.

胸椎前路可控前移位融合治疗胸后纵韧带骨化1例。
背景:胸后纵韧带骨化(T-OPLL)是由于骨化后的后纵韧带占据椎管空间,导致胸脊髓受压所致。手术治疗困难、危险、复杂;因此,目前临床治疗困难。病例总结:报告1例重度多节段T-OPLL行胸椎前路可控前移位融合(TACAF)治疗,包括手术方法及临床资料分析。该患者术前改良日本骨科协会评分为4分,术后评分为9分。椎管受压症状随后得到缓解。术后3个月,数字x线摄影显示患者肢体感觉功能恢复良好。结论:本病例报告提示TACAF治疗长节段T-OPLL是可行的,且具有风险低、创伤小的优点。然而,该手术仍需要更大样本量的临床研究来验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
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