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Effects of Stabilization in Extension in Cervical Ossification of a Posterior Longitudinal Ligament : A Case Report
Effects of Stabilization in Extension in Cervical Ossification of a Posterior Longitudinal Ligament : A Case Report
HASEGAWA, Kazuhiro
51892
KIMURA, Shinji
51893
HIRATA, Yasuharu
51894
MORITA, Tetsuro
51895
cervical OPLL
laminoplasty
postoperative upper arm palsy
spinal fusion in extension
A 74-year-old male with progressive myelopathy due to cervical ossification of the posterior longitudinal ligament (OPLL) was treated by laminoplasty from C3 to C7. One day after surgery, he complained of radiating pain and numbness from the neck to the radial side of the right hand when the head of the bed was raised 60 degrees with his head on a pillow. The symptoms, however, receded rapidly when the bed was returned to the horizontal position. Multi-segmental fusion in extension using a pedicle screw system was performed and the position-related symptoms ceased. We suspected that destabilization due to laminoplasty slightly increased the segmental motion, causing neurologic deterioration.
departmental bulletin paper
Niigata University School of Medicine
2004-09
application/pdf
Acta medica et biologica
3
52
111
115
Acta medica et biologica
AA00508361
05677734
https://niigata-u.repo.nii.ac.jp/record/6246/files/KJ00004267795.pdf
eng