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Anterior cervical discectomy and fusion vs posterior laminoplasty for the treatment of myelopathy due to two-level localized ossification of the posterior longitudinal ligament
DC Field | Value | Language |
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dc.contributor.author | 구성욱 | - |
dc.contributor.author | 김경현 | - |
dc.contributor.author | 김근수 | - |
dc.contributor.author | 노성현 | - |
dc.contributor.author | 박정윤 | - |
dc.contributor.author | 조용은 | - |
dc.contributor.author | 진동규 | - |
dc.date.accessioned | 2021-05-26T16:40:49Z | - |
dc.date.available | 2021-05-26T16:40:49Z | - |
dc.date.issued | 2020-08 | - |
dc.identifier.issn | 0025-7974 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/182803 | - |
dc.description.abstract | We conducted a retrospective study to compare the clinical and radiological results of anterior cervical discectomy and fusion (ACDF) and posterior laminoplasty for two-level localized ossification of the posterior longitudinal ligament (OPLL).ACDF and posterior laminoplasty are performed for localized OPLL at the disc and vertebral body levels, respectively.Eighty six patients with two-level localized OPLL who underwent surgery from January 2011 to December 2016 were retrospectively investigated (41, ACDF group; 45, laminoplasty group). Clinical outcomes were reviewed, and radiologic results such as occupying ratio (OR), space available in the spinal cord, cranial and caudal OPLL-to-disc distance (ODD)/posterior body height (PBH) ratios, segmental angle, C2-C7 Cobb angle, T1 slope, C2-C7 sagittal vertical axis (SVA), and range of motion were investigated.Patients were followed-up for an average of 42.7 ± 10.5 months. Clinical outcomes, postoperative OR, and space available in the spinal cord were significantly improved at the final follow-up in both groups. Preoperatively, the OR and cranial and caudal ODD/PBH ratios were not significantly different between the groups. Compared to pre-operative values, differences in the segmental and C2-C7 Cobb angles at the final follow-up were statistically significant for the ACDF group (P < .05). The mean operative time, bleeding volume, and the duration of hospitalization were significantly lower in the ACDF group than in the laminoplasty group (P < .05). Complications occurred in 1 ACDF case and in 5 laminoplasty cases.Both ACDF and laminoplasty provided satisfactory clinical and radiologic outcomes for two-level localized OPLL. However, ACDF was associated with a lower operation time, bleeding loss, duration of hospitalization, and complications. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Blood Loss, Surgical | - |
dc.subject.MESH | Cervical Vertebrae / diagnostic imaging | - |
dc.subject.MESH | Cervical Vertebrae / surgery | - |
dc.subject.MESH | Diskectomy* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laminoplasty* / methods | - |
dc.subject.MESH | Length of Stay | - |
dc.subject.MESH | Longitudinal Ligaments / diagnostic imaging | - |
dc.subject.MESH | Longitudinal Ligaments / surgery | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Operative Time | - |
dc.subject.MESH | Ossification of Posterior Longitudinal Ligament / complications | - |
dc.subject.MESH | Ossification of Posterior Longitudinal Ligament / diagnostic imaging | - |
dc.subject.MESH | Ossification of Posterior Longitudinal Ligament / surgery* | - |
dc.subject.MESH | Postoperative Complications | - |
dc.subject.MESH | Range of Motion, Articular | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Spinal Cord Diseases / diagnostic imaging | - |
dc.subject.MESH | Spinal Cord Diseases / etiology* | - |
dc.subject.MESH | Spinal Cord Diseases / surgery* | - |
dc.subject.MESH | Spinal Fusion* / methods | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Anterior cervical discectomy and fusion vs posterior laminoplasty for the treatment of myelopathy due to two-level localized ossification of the posterior longitudinal ligament | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학교실) | - |
dc.contributor.googleauthor | Sung Hyun Noh | - |
dc.contributor.googleauthor | Kyung Hyun Kim | - |
dc.contributor.googleauthor | Jeong Yoon Park | - |
dc.contributor.googleauthor | Sung Uk Kuh | - |
dc.contributor.googleauthor | Dong Kyu Chin | - |
dc.contributor.googleauthor | Keun Su Kim | - |
dc.contributor.googleauthor | Yong Eun Cho | - |
dc.identifier.doi | 10.1097/MD.0000000000020955 | - |
dc.contributor.localId | A00196 | - |
dc.contributor.localId | A00308 | - |
dc.contributor.localId | A00330 | - |
dc.contributor.localId | A05657 | - |
dc.contributor.localId | A01650 | - |
dc.contributor.localId | A03865 | - |
dc.contributor.localId | A03979 | - |
dc.relation.journalcode | J02214 | - |
dc.identifier.eissn | 1536-5964 | - |
dc.identifier.pmid | 32871974 | - |
dc.contributor.alternativeName | Kuh, Sung Uk | - |
dc.contributor.affiliatedAuthor | 구성욱 | - |
dc.contributor.affiliatedAuthor | 김경현 | - |
dc.contributor.affiliatedAuthor | 김근수 | - |
dc.contributor.affiliatedAuthor | 노성현 | - |
dc.contributor.affiliatedAuthor | 박정윤 | - |
dc.contributor.affiliatedAuthor | 조용은 | - |
dc.contributor.affiliatedAuthor | 진동규 | - |
dc.citation.volume | 99 | - |
dc.citation.number | 33 | - |
dc.citation.startPage | e20955 | - |
dc.identifier.bibliographicCitation | MEDICINE, Vol.99(33) : e20955, 2020-08 | - |
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