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颈椎后纵韧带骨化症的非手术治疗及手术治疗 被引量：7

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摘要 颈椎后纵韧带骨化症(ossification of posterior longitudinal ligament,OPLL)是指颈椎椎管内椎体后方的后纵韧带逐渐发生骨化,并由此引发椎管狭窄以及脊髓、神经根受压等损害,其病因尚待明确。该疾病患者在临床上有脊髓损害及神经根刺激等症状。1960年,日本学者Tsukimoto根据尸检结果对此进行了描述。1964年,Terayama将其正式命名为"颈椎后纵韧带骨化症"。由于该疾病起病隐匿、进展缓慢,治疗措施及手术时机的选择一直颇具争议。因此,本刊特邀请了多位在该领域内颇具治疗及研究经验的专家共同探讨这一问题。专家们从各自经验出发,通过多个角度探讨了手术时机、手术方案的选择等问题。希望各位同道阅读之后能加以参考,并结合自身的经验提出自己的见解,以期共同提高。
作者 陈德玉 陈宇
机构地区 第二军医大学附属长征医院骨科
出处 《脊柱外科杂志》 2009年第5期315-316,共2页 Journal of Spinal Surgery
关键词 颈椎 骨化 后纵韧带 外科手术
分类号 R686.5 [医药卫生—骨科学]
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参考文献2

二级参考文献20

  • 1陈德玉,陈宇,王新伟,杨立利,郭永飞,何志敏,袁文.后纵韧带钩辅助下颈椎后纵韧带骨化物切除减压术[J].中华骨科杂志,2007,27(6):434-437. 被引量：20
  • 2Tani T, Ushida T, Ishida K, et al. Relative safety of anterior microsurgical decompression versus laminoplasty for cervical myelopathy with a massive ossified posterior longitudinal ligament. Spine, 2002, 27: 2491-2498.
  • 3Iwasaki M, Okuda S, Miyauchi A, et al. Surgical strategy for cervical myelopathy due to ossification of the posterior longitudinal ligament: Part 1: Clinical results and limitations of laminoplasty. Spine, 2007, 32: 647-653.
  • 4Yamazaki A, Homma T, Uchiyama S, et al. Morphologic limitations of posterior decompression by midsagittal splitting method for myelopathy caused by ossification of the posterior longitudinal ligament in the cervical spine. Spine, 1999, 24: 32-34.
  • 5Epstein NE. Identification of ossification of the posterior longitudinal ligament extending through the dura on preoperative computed tomographic examinations of the cervical spine. Spine, 2001, 26: 182- 186.
  • 6Sakaura H, Hosono N, Mukai Y, et al. C5 palsy after decompression surgery for cervical myelopathy: review of the literature. Spine, 2003, 28: 2447-2451.
  • 7Chen Y, Chen D, Wang X, et al. C5 palsy after laminectomy and posterior cervical fixation for ossification of posterior longitudinal ligament. J Spinal Disord Tech, 2007, 20: 533-535.
  • 8Hosono N, Sakaura H, Mukai Y, et al. C3-6 laminoplasty takes over C3-7 laminoplasty with significantly lower incidence of axial neck pain. Eur Spine J, 2006, 15: 1375-1379.
  • 9Ogawa Y, Toyama Y, Chiba K, et al. Long-term results of expansive open-door laminoplasty for ossification of the posterior longitudinal ligament of the cervical spine. J Neurosurg Spine, 2004,17 : 168-174.
  • 10Tani T, Ushida T, Ishida K, et al. Relative safety of anterior microsurgical decompression versus laminoplasty for cervical myelopathy with a massive ossfied posterior longitudinal ligament. Spine, 2002,27:2491-2498.

共引文献46

同被引文献61

  • 1顾勇杰,胡勇,马维虎,徐荣明,孙韶华.无骨折脱位型颈脊髓损伤的外科治疗[J].中国骨与关节损伤杂志,2013,28(S1):35-36. 被引量：6
  • 2袁文,徐盛明,王新伟,张涛,刘百峰.前路分节段减压植骨融合术治疗多节段颈椎病的疗效分析[J].中国脊柱脊髓杂志,2006,16(2):95-98. 被引量：37
  • 3田纪伟,袁文.颈椎过伸性损伤的手术方式探讨[J].中华医学杂志,2006,86(27):1885-1887. 被引量：26
  • 4贾连顺.对过伸性颈脊髓损伤的再认识[J].中华外科杂志,2007,45(6):363-365. 被引量：32
  • 5Matsunaga S, Sakou T, Hayashi K, et al. Trauma-induced myelopathy in patients with ossification of the posterior longitudi- nal ligament[J]. J Neurosurg, 2002, 97(2 Suppl) :172-175.
  • 6I-Iori T, Kawaguchi Y, Kimura T. How does the ossification areaof the posterior longitudinal ligament progress after cervical lamin- oplasty? [J]. Spine (Phila Pa 1976), 2006, 31(24):2807-2812.
  • 7Matsuoka T, Yamaura I, Kurosa Y, et al. Long-term results of the anterior floating method for cervical myelopathy caused by ossification of the posterior longitudinal ligament [ J 1. Spine ( Phila Pa 1976 ) , 2001, 26 ( 3 ) : 241-248.
  • 8Kawaguchi Y, Kanamori M, Ishihara H, et al. Progression of ossification of the posterior longitudinal ligament following en bloccervical laminoplasty[ J]. J Bone Joint Surg Am, 2001, 83-A (12) :1798-1802.
  • 9Matsunaga S, Sakou T, Taketomi E, et al. Effects of strain dis- tribution in the intervertebral discs on the progression of ossifica- tion of the posterior longitudinal ligaments[ J]. Spine (Phila Pa 1976), 1996, 21(2) :184-189.
  • 10Hirabayashi K, Miyakawa J, Satomi K, et al. Operative resuhs and postoperative progression of ossification among patients with ossification of cervical posterior longitudinal ligament [ J ]. Spine (Phila Pa 1976) , 1981, 6(4) :354-364.

引证文献7

二级引证文献34

脊柱外科杂志
2009年 第5期

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