摘要为了手术安全及操作简便，临床上治疗多节段颈椎后纵韧带骨化症（ossification of the posterior longitudinal ligament，OPLL）常采取后路手术，从而达到后方直接减压、扩大颈椎管，前方脊髓漂移，间接解除压迫治疗的目的。但在临床工作中，我们发现多节段颈椎OPLL患者多数脊髓压迫较重，
1Julian H, Oliver G, Pelagia E, et al. Clinical and functional outcomes of laminoplasty and laminectomy. Neurological Research, 2010,32: 416- 420.
2Timothy C, Robert F, Paul G, et al. Cervical laminectomy for the treatment of cervical degenerative myelopathy. J Neurosurg Spine, 2009,11 : 142- 149.
4Debasish P, Edward B, Sani A, et al. Freehand determination of the trajectory angle for cervical lateral mass screws: how accurate is it? Eur Spine J, 2011,20:972-976.
8Kawano H,Handa Y,Ishii H,et al.Surgical treatment for ossification of the posterior longitudinal ligament of the cervical spine[J].J Spinal Disord,1995,8(2):145-150.
9Mizuno J,Nakagawa H.Anterior decompression for cervical spondylosis associated with an early form of cervical ossification of the posterior longitudinal ligament[J].Neurosurg Focus,2002,12(1):E12.
10Hirabayas K,Toyama Y,Chiba K.Expansive laminoplasty for myelopathy in ossification of the longtudinal ligament[J].Clini Orthop Relat Res,1999,359:35-48.
3Yamazaki M, Okawa A, Mannoji C. Postoperative paralysis following posterior decompression with instrumented fusion for thoracic myelopathy caused by ossification of the posterior longitudinal ligament. J Clin Neurosci. 2010;18(2): 294-296.
4Ikeda Y, Nakajima A, Aiba A,et al.Association between serum leptin and bone metabolic markers, and the development of heterotopic ossification of the spinal ligament in female patients with ossification of the posterior longitudinal ligament. Eur Spine J. 2011 ;20(9):1450-1458.
5Kawano O, Maeda T, Mori E. Influence of Spinal Cord Compression and Traumatic Force on the Severity of Cervical Spinal Cord Injury Associated With Ossification of the Posterior Longitudinal Ligament.Spine. 2014;39(14): 1108-1112.
6Chin DK, Han IB, Ropper AE, et al. Association of VKORC 1-1639G>A polymorphism with susceptibility to ossification of the posterior longitudinal ligament of the spine: a Korean study. Acta Neurochirurgica. 2013;155(10): 1937-1942.
7Passias PG, Wang SB, Wang SL,et aI.Combined ossification of the posterior longitudinal ligament at C2-3 and invagination of the posterior axis resulting in Myelopathy. Eur Spine J. 2013;22(3):478-486.
8Sohn S, Chung CK. Increased Bone Mineral Density and Decreased Prevalence of Osteoporosis in Cervical Ossification of the Posterior Longitudinal Ligament: A Case-Control Study. Calcif Tissue Int. 2013;92(1 ):28-34.
9Kudo H, Yokoyama T, Tsushima E. Interobserver and intraobserver reliability of the classification and diagnosis for ossification of the posterior longitudinal ligament of the cervical spine. Eur Spine J. 2013;22 (1):205-210.
10Ito K, Yukawa Y, Machino M. Spinal cord cross-sectional area during flexion and extension in the patients with cervical ossification of posterior longitudinal ligament.Eur Spine J. 2013:22(11 ):2564-2568.
