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  • McClendon, Jamal  (3)
  • 1
    Online Resource
    Online Resource
    Surgical management of cervical ossification of the posterior longitudinal ligament: natural history and the role of surgical decompression and stabilization
    Journal of Neurosurgery Publishing Group (JNSPG) ; 2011
    In:  Neurosurgical Focus Vol. 30, No. 3 ( 2011-03), p. E3-
    Details
    In: Neurosurgical Focus, Journal of Neurosurgery Publishing Group (JNSPG), Vol. 30, No. 3 ( 2011-03), p. E3-
    Abstract: Ossification of the posterior longitudinal ligament (OPLL) is a complex multifactorial disease process combining both metabolic and biomechanical factors. The role for surgical intervention and choice of anterior or posterior approach is controversial. The object of this study was to review the literature and present a single-institution experience with surgical intervention for OPLL. Methods The authors performed a retrospective review of their institutional experience with surgical intervention for cervical OPLL. They also reviewed the English-language literature regarding the epidemiology, pathophysiology, natural history, and surgical intervention for OPLL. Results Review of the literature suggests an improved benefit for anterior decompression and stabilization or posterior decompression and stabilization compared with posterior decompression via laminectomy or laminoplasty. Both anterior and posterior approaches are safe and effective means of decompression of cervical stenosis in the setting of OPLL. Conclusions Anterior cervical decompression and reconstruction is a safe and appropriate treatment for cervical spondylitic myelopathy in the setting of OPLL. For patients with maintained cervical lordosis, posterior cervical decompression and stabilization is advocated. The use of laminectomy or laminoplasty is indicated in patients with preserved cervical lordosis and less than 60% of the spinal canal occupied by calcified ligament in a “hill-shaped” contour.
    Type of Medium: Online Resource
    ISSN: 1092-0684
    URL: Article
    DOI: 10.3171/2010.12.FOCUS10283
    Language: Unknown
    Publisher: Journal of Neurosurgery Publishing Group (JNSPG)
    Publication Date: 2011
    detail.hit.zdb_id: 2026589-X
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  • 2
    Online Resource
    Online Resource
    Management of ossification of the posterior longitudinal ligament of the thoracic spine
    Journal of Neurosurgery Publishing Group (JNSPG) ; 2011
    In:  Neurosurgical Focus Vol. 30, No. 3 ( 2011-03), p. E16-
    Details
    In: Neurosurgical Focus, Journal of Neurosurgery Publishing Group (JNSPG), Vol. 30, No. 3 ( 2011-03), p. E16-
    Abstract: The management of thoracic ossification of the posterior longitudinal ligament has been studied by many spinal surgeons. Indications for operative intervention include progressive radiculopathy, myelopathy, and neurological deterioration. The ideal surgery for decompression remains highly debatable as various methods of surgical treatment of ossification of the posterior longitudinal ligament have been devised. Although numerous modifications to the 3 main approaches have been identified (anterior, posterior, or lateral), the indication for each depends on the nature of compression, the morphology of the lesion, the level of the compression, the structural alignment of the spine, and the neurological status of the patient. The authors discuss treatment techniques for thoracic ossification of the posterior longitudinal ligament, cite case examples from a single institution, and review the literature.
    Type of Medium: Online Resource
    ISSN: 1092-0684
    URL: Article
    DOI: 10.3171/2010.12.FOCUS10282
    Language: Unknown
    Publisher: Journal of Neurosurgery Publishing Group (JNSPG)
    Publication Date: 2011
    detail.hit.zdb_id: 2026589-X
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    Online Resource
  • 3
    Online Resource
    Online Resource
    The Association for Surgical Education's Roadmap for Research on Surgical Simulation
    Elsevier BV ; 2012
    In:  World Neurosurgery Vol. 78, No. 1-2 ( 2012-07), p. 4-5
    Details
    In: World Neurosurgery, Elsevier BV, Vol. 78, No. 1-2 ( 2012-07), p. 4-5
    Type of Medium: Online Resource
    ISSN: 1878-8750
    URL: Article
    DOI: 10.1016/j.wneu.2012.05.024
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2012
    detail.hit.zdb_id: 2530041-6
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