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- W3029068049 abstract "ObjectiveTo evaluate the clinical outcomes of K-line(-) ossification of posterior longitudinal ligament (OPLL) between single open-door posterior decompression with instrumented in situ fusion(PDF) and laminoplasty (LMP).MethodsFrom February 2008 to February 2015, 38 cases including 30 males and 8 females underwent posterior decompression due to K-line(-) OPLL in our institution. The age ranged from 48 to 76 years, mean 56.3±9.7 years. The OPLL canal occupation ratio ranged from 38.6% to 72.5%, mean 58.1%±13.6%. According to surgical procedures, 26 cases were in PDF group and 12 cases were in LMP group. The data collected from both groups included complications, C2-C7 Cobb angle and neurologic symptoms eval-uated based on the Japanese Orthopedic Association (JOA) score and JOA score recovery rate, and were analyzed with statistics in and between groups.ResultsAll the patients were completed follow up with a mean of 3.6±2.1 years (range, 2.5 to 7.0 months). At the final follow-up, the postoperative JOA score was 11.8±1.9 points on average, improved from preoperative 7.7±1.6 points (t=3.757, P 0.05), however, there were significant differences in the postoperative JOA score (t=3.941, P 0.05). On the contrary, the C2-C7 Cobb angle was-2.1°±1.8°, lower than preoperative 3.9°±1.2° (t=6.824, P 0.05), respectively.ConclusionCompared with LMP, PDF without correcting cervical alignment for pa-tients with K-line(-) OPLL showed better neurological recovery and clinical efficacy.Key words: Cervical vertebrae; Ossification of posterior longitudinal ligament; Decompression, surgical; Spinal fusion" @default.
- W3029068049 created "2020-06-05" @default.
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- W3029068049 date "2018-12-16" @default.
- W3029068049 modified "2023-09-24" @default.
- W3029068049 title "Clinical outcomes of single open-door posterior decompression with instrumented in situ fusion for cervical ossification ofposterior longitudinal ligament" @default.
- W3029068049 doi "https://doi.org/10.3760/cma.j.issn.0253-2352.2018.24.006" @default.
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