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Contributing factors affecting the prognosis surgical outcome for thoracic OLF

Authors
 Sung Uk Kuh  ;  Young Soo Kim  ;  Yong Eun Cho  ;  Byung Ho Jin  ;  Keun Su Kim  ;  Young Sul Yoon  ;  Dong Kyu Chin 
Citation
 European Spine Journal, Vol.15(4) : 485-491, 2006 
Journal Title
 European Spine Journal 
ISSN
 1432-0932 
Issue Date
2006
MeSH
Adult ; Aged ; Female ; Humans ; Ligamentum Flavum/diagnostic imaging ; Ligamentum Flavum/pathology ; Ligamentum Flavum/surgery* ; Male ; Middle Aged ; Ossification, Heterotopic/diagnosis ; Ossification, Heterotopic/diagnostic imaging ; Ossification, Heterotopic/surgery* ; Prognosis ; Radiography ; Retrospective Studies ; Time Factors
Keywords
Thoracic Spine ; Stenosis ; Ossification of ligament flavum ; Myelopathy ; Surgical Outcome
Abstract
The thoracic ossification of ligamentum flavum (OLF) is a disease that produces spastic paraparesis, and there are various factors that may affect the surgical outcome of thoracic OLF patients. The authors of this study treated 19 of these thoracic OLF patients from 1998 to 2002, and retrospectively reviewed the patients′ age, sex, symptom duration, involved disease level, preoperative clinical features, neurological findings, radiological findings, the other combined spinal diseases and the surgical outcomes. There were excellent or good surgical outcomes in 16 patients, but 3 patients did not improve after thoracic OLF surgery: this included 1 patient, whose motor function worsened after decompressive thoracic OLF surgery. The favorable contributing factors of surgical outcome in thoracic OLF are a short preoperative symptom duration, single-level lesion, and unilateral lesion type on CT axial scan. On the contrary, the poor prognostic factors are beak type lesion and intramedullary signal changes on T2-weighted sagittal MRI. The complete preoperative evaluation including radiologic findings will provide valuable aid in presuming the surgical outcome for the thoracic OLF patients.
Files in This Item:
T200600327.pdf Download
DOI
10.1007/s00586-005-0903-9
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kuh, Sung Uk(구성욱) ORCID logo https://orcid.org/0000-0003-2566-3209
Kim, Keun Su(김근수) ORCID logo https://orcid.org/0000-0002-3384-5638
Yoon, Young Sul(윤영설)
Cho, Yong Eun(조용은) ORCID logo https://orcid.org/0000-0001-9815-2720
Chin, Dong Kyu(진동규) ORCID logo https://orcid.org/0000-0002-9835-9294
Jin, Byung Ho(진병호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109132
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