Microendoscopic Posterior Decompression for Treating Thoracic Myelopathy Caused by Ossification of the Ligamentum Flavum: Case Series
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patient Selection
2.2. Surgical Technique
2.3. Ethical Standards
3. Results
3.1. Characteristic Features and Result
3.2. Perioperative Complications
3.3. Surgical Outcome and Combined Spinal Lesions in Patients with OLF
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Patient | Age | Sex | Level | Type (Axial CT) | Type (Sagittal MRI) | Intensity Change (MRI) | Approach | Operation Time (minutes) | Resection |
---|---|---|---|---|---|---|---|---|---|
1 | 64 | M | T11/12 | bilateral | round | − | unilateral | 166 | Partial |
2 | 67 | M | T11/12 | bilateral | round | + | midline | 112 | Partial |
3 | 35 | M | T10/11 | bilateral | round | + | unilateral | 101 | Complete |
4 | 70 | F | T10/11 | bilateral | round | − | unilateral | 85 | Partial |
5 | 62 | M | T10/11 | bilateral | round | + | unilateral | 87 | Complete |
6 | 62 | M | T11/12 | bilateral | round | + | unilateral | 112 | Partial |
7 | 76 | M | T9/10 | bilateral | round | + | unilateral | 62 | Complete |
8 | 64 | F | T10/11 | bilateral | round | − | midline | 112 | Partial |
9 | 38 | M | T11/12 | bilateral | round | + | unilateral | 140 | Complete |
10 | 55 | M | T11/12 | bilateral | round | + | midline | 118 | Partial |
11 | 81 | M | T10/11 | bilateral | round | − | midline | 76 | Complete |
12 | 74 | M | T9/10 | bilateral | round | + | unilateral | 96 | Complete |
13 | 41 | M | T11/12 | bilateral | round | + | unilateral | 106 | Complete |
14 | 76 | M | T11/12 | unilateral | round | − | unilateral | 68 | Complete |
15 | 34 | M | T10/11 | bilateral | beak | + | unilateral | 117 | Complete |
16 | 56 | F | T10/11/12 | bilateral | round | + | unilateral | 170 | Complete |
17 | 79 | M | T11/12 | bilateral | round | + | unilateral | 75 | Complete |
18 | 73 | F | T10/11 | bilateral | round | + | unilateral | 68 | Complete |
19 | 70 | M | T11/12 | bilateral | round | + | unilateral | 106 | Complete |
Patient | Pre-mJOA | Post-mJOA | Recovery Rate (%) | Follow Up Month | Complication | Combined Spinal Lesions |
---|---|---|---|---|---|---|
1 | 7 | 10 | 75 | 25 | − | C+ pre/L+ post |
2 | 5 | 6 | 17 | 13 | − | N |
3 | 9 | 11 | 100 | 7 | − | C− |
4 | 2 | 4 | 22 | 25 | − | L− |
5 | 6 | 8 | 40 | 23 | dural tear | C+ post/L+ pre |
6 | 7 | 7 | 0 | 36 | − | N |
7 | 9 | 9 | 0 | 25 | − | L+ post |
8 | 9 | 10 | 50 | 24 | − | C− |
9 | 8 | 11 | 100 | 7 | − | N |
10 | 8 | 9 | 33 | 6 | re-operation for adjacent level stenosis | N |
11 | 7 | 6 | −25 | 29 | re-operation for paralysis due to hematoma | C+ post/L+ post |
12 | 7 | 7 | 0 | 5 | − | C+ post/L+ pre |
13 | 8 | 10 | 67 | 16 | − | N |
14 | 9 | 9 | 0 | 10 | − | L+ pre |
15 | 5 | 10 | 83 | 11 | − | N |
16 | 8 | 9 | 33 | 22 | − | N |
17 | 7 | 7 | 0 | 19 | − | L+ post |
18 | 8 | 9 | 33 | 19 | − | L+ post |
19 | 7 | 7 | 0 | 17 | − | L+ post |
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Baba, S.; Shiboi, R.; Yokosuka, J.; Oshima, Y.; Takano, Y.; Iwai, H.; Inanami, H.; Koga, H. Microendoscopic Posterior Decompression for Treating Thoracic Myelopathy Caused by Ossification of the Ligamentum Flavum: Case Series. Medicina 2020, 56, 684. https://doi.org/10.3390/medicina56120684
Baba S, Shiboi R, Yokosuka J, Oshima Y, Takano Y, Iwai H, Inanami H, Koga H. Microendoscopic Posterior Decompression for Treating Thoracic Myelopathy Caused by Ossification of the Ligamentum Flavum: Case Series. Medicina. 2020; 56(12):684. https://doi.org/10.3390/medicina56120684
Chicago/Turabian StyleBaba, Satoshi, Ryutaro Shiboi, Jyunichi Yokosuka, Yasushi Oshima, Yuichi Takano, Hiroki Iwai, Hirohiko Inanami, and Hisashi Koga. 2020. "Microendoscopic Posterior Decompression for Treating Thoracic Myelopathy Caused by Ossification of the Ligamentum Flavum: Case Series" Medicina 56, no. 12: 684. https://doi.org/10.3390/medicina56120684
APA StyleBaba, S., Shiboi, R., Yokosuka, J., Oshima, Y., Takano, Y., Iwai, H., Inanami, H., & Koga, H. (2020). Microendoscopic Posterior Decompression for Treating Thoracic Myelopathy Caused by Ossification of the Ligamentum Flavum: Case Series. Medicina, 56(12), 684. https://doi.org/10.3390/medicina56120684