Cervical Ossified Posterior Longitudinal Ligament

Volume 1 | Issue 2 | Sep – Dec 2016 | Page 49-51 | Kunal Shah, Manish Kothari, Abhay Nene


Authors : Kunal Shah [1], Manish Kothari [1], Abhay Nene [1]

[1] Department of Spine Surgery, Wockhardt Hospital and
Medical Research Centre Agripada, Dr Anand Rao Nair Road
Mumbai Central, Mumbai. India – 400008

Address of Correspondence
Dr. Abhay Nene
Department of Spine Surgery, Wockhardt Hospital and
Medical Research Centre Agripada, Dr Anand Rao Nair
Road,Mumbai Central, Mumbai. India – 400008
Email: abhaynene@yahoo.com


Abstract

Introduction
Cervical ossified posterior longitudinal
ligament is a common cause of myelopathy.
It is frequently encountered in busy spine
clinic with varied presentation; however
there are lots of controversies in this topic.
Etiopathogenesis and natural history is
unknown and progression is unpredictable.
Timing of surgery and type of approach is
also controversial and many factors should
be taken into account for surgical planning.


References

1) Yonenobu K. Is surgery indicated for asymptomatic or mildly
myelopathic patients with significant ossification of the posterior
longitudinal ligament? Spine (Phila Pa 1976). 2012 Mar
1;37(5):E315-7.
2) Wilson JR, Patel AA, Brodt ED, Dettori JR, Brodke DS, Fehlings MG.
Genetics and heritability of cervical spondylotic myelopathy and
ossification of the posterior longitudinal ligament: results of a
systematic review. Spine (Phila Pa 1976). 2013 Oct 15;38(22 Suppl
1):S123-46.
3) Chiba K , Yamamoto I , Hirabayashi H , et al. Multicenter study to
investigate postoperative progression of the posterior longitudinal
ligament in the cervical spine using a new computer-assisted
measurement . J Neurosurg Spine 2005 ; 3 : 17 – 23 .
4) Choi BW, Baek DH, Sheffler LC, Chang H. Analysis of progression of
cervical OPLL using computerized tomography: typical sign of
maturation of OPLL mass. J Neurosurg Spine. 2015 Jul 17:1-5.
5) Matsunaga S , Sakou T , Hayashi K , et al. Trauma-induced
myelopathy in patients with ossifi cation of the posterior longitudinal
ligament . J Neurosurg 2002 ; 97 : S172 – 5 .
6) Matsunaga S , Kukita M , Hayashi K , et al. Pathogenesis of
myelopathy in patients with ossifi cation of the posterior longitudinal
ligament . J Neurosurg 2002 ; 96 : S168 – 72 .
7) Matsunaga S, Nakamura K, Seichi A, Yokoyama T, Toh S, Ichimura S,
Satomi K, Endo K, Yamamoto K, Kato Y, Ito T, Tokuhashi Y, Uchida K,
Baba H, Kawahara N, Tomita K, Matsuyama Y, Ishiguro N, Iwasaki M,
Yoshikawa H, Yonenobu K, Kawakami M, Yoshida M, Inoue S, Tani T,
Kaneko K, Taguchi T, Imakiire T, Komiya S. Radiographic predictors
for the development of myelopathy in patients with ossification of the
posterior longitudinal ligament: a multicenter cohort study. Spine
(Phila Pa 1976). 2008 Nov 15;33(24):2648-50.
8) Rhee JM, Shamji MF, Erwin WM, Bransford RJ, Yoon ST, Smith JS,
Kim HJ, Ely CG, Dettori JR, Patel AA, Kalsi-Ryan S. Nonoperative
management of cervical myelopathy: a systematic review. Spine
(Phila Pa 1976). 2013 Oct 15;38(22 Suppl 1):S55-67.
9) Yoon ST, Raich A, Hashimoto RE, Riew KD, Shaffrey CI, Rhee JM,
Tetreault LA, Skelly AC, Fehlings MG. Predictive factors affecting
outcome after cervical laminoplasty. Spine (Phila Pa 1976). 2013 Oct
15;38(22 Suppl 1):S232-52.
10) Iwasaki M, Okuda S, Miyauchi A, Sakaura H, Mukai Y, Yonenobu K,
Yoshikawa H. Surgical strategy for cervical myelopathy due to
ossification of the posterior longitudinal ligament: Part 2: Advantages
of anterior decompression and fusion over laminoplasty. Spine (Phila
Pa 1976). 2007 Mar 15;32(6):654-60.
11) Suda K , Abumi K , Ito M , et al. Local kyphosis reduces outcomes of
expansive open-door laminoplasty for cervical spondylotic
myelopathy . Spine 2003 ; 28 : 1258 – 62 .
12) Sakai K, Okawa A, Takahashi M, Arai Y, Kawabata S, Enomoto M,
Kato T, Hirai T, Shinomiya K. Five-year follow-up evaluation of
surgical treatment for cervical myelopathy caused by ossification of
the posterior longitudinal ligament: a prospective comparative study
of anterior decompression and fusion with floating method versus
laminoplasty. Spine (Phila Pa 1976). 2012 Mar 1;37(5):367-76.
13) Katsumi K, Izumi T, Ito T, Hirano T, Watanabe K, Ohashi M. Posterior
instrumented fusion suppresses the progression of ossification of the
posterior longitudinal ligament: a comparison of laminoplasty with and
without instrumented fusion by three-dimensional analysis. Eur Spine
J. 2015 Nov 19. [Epub ahead of print]
14) Wei-bing X , Wun-Jer S , Gang L , et al. Reconstructive techniques
study after anterior decompression of multilevel cervical spondylotic
myelopathy . J Spinal Disord Tech 2009 ; 22 : 511 – 5 .
15) Yamaura I, Kurosa Y, Matuoka T, et al. Anterior floating method for
cervical myelopathy caused by ossification of the posterior
longitudinal ligament. Clin Orthop 1999;359:27–34.


How to Cite this Article: Shah K , Kothari M , Nene A. Cervical Ossified Posterior Longitudinal Ligament. International Journal of Spine Sep-Dec 2016;1(2): 49-51.


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