Early anterior discectomy and fusion should be done for cervical disc and longitudinal ligament injury without spinal cord injury. 不伴脊髓损伤的颈椎前纵韧带合并椎间盘损伤,可考虑早期行前路椎间盘切除融合术。
Anterior Cervical Corpectomy in the Treatment of Ossification of Posterior Longitudinal Ligament 前路椎体次全切在治疗颈椎后纵韧带骨化中的应用
Objective: To study feasibility and therapeutic effects of one-stage operation through combined anterior and posterior approach for the treatment of severe lower cervical spine diseases including severe fracture, cervical spondylotic myelopathy ( CSM) and ossification of cervical posterior longitudinal ligament ( OPLL). 目的:对严重下颈椎疾病,包括骨折脱位、脊髓型颈椎病及颈椎后纵韧带骨化症采取一期前后联合手术治疗,探讨该疗法的可行性和疗效。
16 patients have undergone posterior cervical operation and 26 patients anterior cervical operation and posterior longitudinal ligament resection. 16例行颈椎后路手术,26例行颈椎前路手术切除后纵韧带。平均改善率为61.8%,优11例,占31.4%;
Conclusion: The satisfying result can be obtained by resecting the posterior longitudinal ligament and decompressing completely in the anterior operation for the compressed cervical spinal cord by the thick degenerated posterior longitudinal ligament, the ossification of the posterior longitudinal ligament and the epidural cervical disc extrusion. 结论:后纵韧带退变肥厚、后纵韧带骨化或硬膜外型颈椎间盘脱出压迫颈髓时,行颈椎前路手术时应切除后纵韧带,彻底减压。
Anterior floating method used to manage ossification of the cervical posterior longitudinal ligament ( OPLL): preliminary study 前路飘浮法治疗颈椎后纵韧带骨化症初步报告