Volume 9, Issue 4 pp. 111-114

Surgical treatment of multilevel cervical radiculomyelopathy caused by the concomitant ossification of the ligamentum flavum and the posterior longitudinal ligament

Jiao-Chiao Yang

Jiao-Chiao Yang

Division of Neurosurgery, Department of Surgery, Cathay General Hospital, Taipei, Taiwan.

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Chien-Pang Lin

Chien-Pang Lin

Division of Neurosurgery, Department of Surgery, Cathay General Hospital, Taipei, Taiwan.

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Jun-Yeen Chan

Jun-Yeen Chan

Division of Neurosurgery, Department of Surgery, Cathay General Hospital, Taipei, Taiwan.

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Yuan-Kai Liu

Yuan-Kai Liu

Division of Neurosurgery, Department of Surgery, Cathay General Hospital, Taipei, Taiwan.

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Jing-Shan Huang

Corresponding Author

Jing-Shan Huang

Division of Neurosurgery, Department of Surgery, Cathay General Hospital, Taipei, Taiwan.

*Author to whom all correspondence should be addressed.
Email: [email protected]Search for more papers by this author
First published: 26 October 2005
Citations: 2

Abstract

Objectives:  A two-stage operation is essential for patients with cervical spine myelopathy that is the result of concomitant ligamentum flavum and posterior longitudinal ligament ossification.

Methods:  Modified open door laminoplasty with a miniplate and screw from the posterior approach was carried out first. Then anterior decompression and fusion with a Casper plate and Surgibone at the C5-6 intervertebral space were carried out 1 week after the first operation.

Results:  One week after the second procedure, the postoperative Nurick score improved from four to two. The patient withstood the whole procedure well and within one week was noted to have improved muscle strength.

Conclusions:  The two-stage operation is a safe and effective choice for treating concomitant OPLL and OLF in the cervical spine with radiculomyelopathy.

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