SpineSpondylotic myelopathyOssificationSpondylosisLaminectomyDecompress the spinal cordAnteriorFusionSurgicalCystsVertebraeLaminoplastyStenosisFracturesCystSpinal canalAnatomicProcedureBonySymptomsLevelOssificationApproach for thoracicOPLLLaminectomyLigamentum flavumDecompressiveStabilizationPatientsGaitVertebralTransforaminalAnteriorThoracolumbarNeck painEndoscopicFracturesCervical spondylosisClinicalSurgeryReconstructionCommonTreatmentDisc
Spine13
- En bloc laminoplasty decompresses the spine by making the laminae act as a flap, and this flap hovered over the cord without sutures or bone grafts. (wikipedia.org)
- In order to stabilize spinal movement, there are many ligaments throughout the spine to hold the vertebrae and intervertebral discs together. (wikipedia.org)
- The thoracic MR spine showed synovial cyst at the T10/T11 level, while the computed tomography confirmed DISH fusion between the T4 and T10 levels. (surgicalneurologyint.com)
- They rarely occur in thoracic spine (i.e., 1.6% incidence reported). (surgicalneurologyint.com)
- Magnetic resonance imaging (MRI) of the thoracic spine. (surgicalneurologyint.com)
- a) Sagittal view shows horizontally oriented ossification of anterior longitudinal ligament in thoracic spine and gas-containing disc at multiple levels. (surgicalneurologyint.com)
- It is a useful procedure for patients with compressive cervical myelopathy wherein the spinal cord gets squeezed due to the degenerative changes in the cervical spine. (punespine.com)
- Also, it may be performed in the middle or low back on thoracic or lumbar spine, especially in pediatric or younger adult patients. (punespine.com)
- Thoracic and Lumbar Spine Injuries 38. (acco.be)
- These are far less mobile and this more rigid structure of the thoracic spine provides the necessary support for the vital organs contained in the chest (heart and lungs). (brainandspineclinic.com)
- It is normal for the spine to have a gentle "S" shape with the cervical and lumbar spine being concave and the thoracic spine convex. (brainandspineclinic.com)
- The other soft tissue components of the spine are the ligaments. (brainandspineclinic.com)
- Treatment may be long-term targeted antibiotics alone or surgical decompression and stabilization depending on the extent and chronicity of infection, location in the spine, and identification and succeptibility to antimicrobials of the pathogen. (orthobullets.com)
Spondylotic myelopathy4
- This was a retrospective radiological analysis of 43 patients with cervical spondylotic myelopathy who underwent laminectomy with fusion (LCF). (biomedcentral.com)
- Cervical spondylotic myelopathy (CSM) is a common disease in older adults, that leads to cervical spinal cord function impairment. (biomedcentral.com)
- Reply to the letter to the editor regarding "a clinical prediction model to assess surgical outcome in patients with cervical spondylotic myelopathy: Internal and external validation using the prospective multicenter AOSpine North American and International datasets of 743 patients. (illinois.edu)
- One patient each had mixed subacute/chronic subdural haematoma and severe cervical spondylotic myelopathy. (bvsalud.org)
Ossification1
- Ossification of the Posterior Longitudinal Ligament 44. (acco.be)
Spondylosis4
- Pathophysiology of Cervical Spondylosis, Radiculopathy, and Myelopathy 30. (acco.be)
- Pathophysiology of Thoracic Spondylosis, Radiculopathy, and Myelopathy 31. (acco.be)
- Cervical degenerative disc disease, spondylosis, severe myelopathy, spinal cord compression especially at C3-C4, C4-C5, and C5-C6, progressive quadriparesis, and very poor bone quality as well as difficulty with hemostasis with the patient having been on aspirin. (mtsamples.com)
- He was worked by the neurologist, Dr. X, and found to have cervical spondylosis with myelopathy. (mtsamples.com)
Laminectomy6
- Laminoplasty is a surgical procedure that has been developed as an alternative to cervical laminectomy, which is used to treat cervical myelopathy. (wikipedia.org)
- The next method is called, en bloc laminoplasty, and it was a modification of the en bloc laminectomy, which was developed by Tsuji. (wikipedia.org)
- Laminectomy with fusion (LCF), a posterior decompression method, is a common procedure for multi-level CSM. (biomedcentral.com)
- it keeps the normal bone and ligament structure intact as compared to laminectomy which removes the lamina instead of hinging it open. (punespine.com)
- For, individuals who need a greater amount of decompression may be more effectively treated with the full removal of the lamina, a laminectomy, since laminoplasty provides lesser decompression. (punespine.com)
- We began the laminectomy and decompression. (cortho.org)
Decompress the spinal cord1
- I then brought in the microscope, under the microscopic guidance, firmly removed the end plates and drilled through the posterior longitudinal ligament to decompress the spinal cord. (mtsamples.com)
Anterior2
- These approaches are the anterior approach which is a direct removal of the cord compressing lesion, or a posterior approach which is an indirect decompression of the spinal cord. (wikipedia.org)
- For perfusion, three longitudinal vessels form an anastomotic network that supplies the spinal cord: two posterior spinal arteries, and the anterior spinal artery. (medscape.com)
Fusion1
- She underwent occipitocervical decompression and fusion with enlargement of the foramen magnum. (bvsalud.org)
Surgical4
- The NORDSTEN (Norwegian Degenerative Spinal Stenosis) trial included 437 patients scheduled to undergo surgical decompression for lumbar spinal stenosis, with the following MRI findings being evaluated before surgery: morphologic (Schizas) and quantitative (cross-sectional area) grade of stenosis, disc degeneration (Pfirrmann), facet joint tropism, and fatty infiltration of the multifidus muscle. (medscape.com)
- 9. Quencer RM, Morse BM, Green BA, Eismont FJ, Brost P. Intraoperative spinal sonography: adjunct to metrizamide CT in the assessment and surgical decompression of posttraumatic spinal cord cysts. (backbonejournal.com)
- Here, we present a patient with diffuse idiopathic skeletal hyperostosis (DISH) who developed a T10/T11 s ynovial cyst contributing to myelopathy that resolved following surgical cyst excision. (surgicalneurologyint.com)
- Despite the high anesthetic risk, myelopathy and progressive symptoms indicate the need for surgical decompression. (bvsalud.org)
Cysts1
- Arachnoid cysts can be observed anywhere along the length of the spinal canal, middle, and lower thoracic regions, which constitute for the most frequently involved areas [ 20 ]. (biomedcentral.com)
Vertebrae1
- The 12 thoracic vertebrae (T1 to T12) are contained within the rib cage, and each vertebra articulates with a rib. (brainandspineclinic.com)
Laminoplasty2
- Later in 1977, Hirabayashi and his colleagues introduced the open-door laminoplasty, which was inspired by the en bloc laminoplasty. (wikipedia.org)
- Laminoplasty a type of decompression surgey. (punespine.com)
Stenosis2
- In an international Delphi study by Tomkins-Lane et al that identified important diagnostic tests to confirm lumbar spinal stenosis, the authors' recommendations included 3 core diagnostic tests (neurologic examination, MRI/CT, and walking test with gait observation) and 3 "rule out" tests (foot pulses/ABI [ankle brachial index], hip examination, and test for cervical myelopathy). (medscape.com)
- The thoracic MR showed central canal stenosis through the T10-12 levels and a dorsal extradural cyst at the T10/11 level that enhanced with contrast and contributed to cord compression [ Figures 1a - d ]. (surgicalneurologyint.com)
Fractures1
- Intraoperative spinal sonography in thoracic and lumbar fractures: evaluation of Harrington rod instrumentation. (backbonejournal.com)
Cyst1
- The patient sustained no perioperative/postoperative complications and the postoperative imaging studies showed decompression of spinal cord with no residual cyst [ Figure 3 ]. (surgicalneurologyint.com)
Spinal canal1
- To treat myelopathy and ossified posterior longitudinal ligament (OPLL), there are two approaches that can expand the spinal canal. (wikipedia.org)
Anatomic1
- Spinal cord hemorrhage usually presents as sudden, painful myelopathy, which may reflect the anatomic level of the hemorrhage. (medscape.com)
Procedure1
- The patient was very oozy throughout this procedure, and during the decompression part, the oozing was constant. (mtsamples.com)
Bony1
- 2 , 8 ] Diffuse idiopathic skeletal hyperostosis (DISH) results in spontaneous bony bridging of the anterolateral spinal ligaments and tendons. (surgicalneurologyint.com)
Symptoms1
- We present the case of a 12-year-old girl with mucopolysaccharidosis type VI treated with enzyme replacement therapy since the age of 7, who came to the consultation with symptoms compatible with progressive high cervical myelopathy. (bvsalud.org)
Level1
- 4) four or five level decompression (C3-7 or C3-6) with LCF, and (5) at least 12 months of follow-up. (biomedcentral.com)
Ossification12
- 8. Circumspinal decompression with dekyphosis stabilization for thoracic myelopathy due to ossification of the posterior longitudinal ligament. (nih.gov)
- 10. Clinical results and complications of circumferential spinal cord decompression through a single posterior approach for thoracic myelopathy caused by ossification of posterior longitudinal ligament. (nih.gov)
- To evaluate the rate of increase in thickness and cross-section area (CSA) of the ossification in thoracic myelopathy with or without cervical and lumbar spinal ligament ossification. (nih.gov)
- A total of 24 patients with 170 segments (47 ligamentum flavum [OLF] and 123 cases of ossification of the posterior longitudinal ligament [OPLL]) of spinal ligament ossification between January 2012 and March 2019 at a single institution were retrospectively reviewed. (nih.gov)
- Twelve female and 12 male patients with thoracic myelopathy and spinal ligament ossification were enrolled in the study. (nih.gov)
- Ossification of the posterior longitudinal ligament (OPLL) is an important cause of cervical myelopathy that results from bony ossification of the cervical or thoracic posterior longitudinal ligament (PLL). (medscape.com)
- Cite this: Ossification of the Posterior Longitudinal Ligament - Medscape - Mar 01, 2011. (medscape.com)
- Cervical spondylotic myelopathy (CSM) is a common disease resulting from intervertebral disc herniation, ossification of the posterior longitudinal ligament, and other pathological changes that cause spinal cord compression. (bvsalud.org)
- Later on, microscopic procedures extended to anterior cervical discectomy, corpectomy and laminoplasty for other common degenerative conditions like cervical spondylotic radiculo-myelopathy (CSRM) and ossification of posterior longitudinal ligament (OPLL). (edu.hk)
- Thoracic myelopathy caused by the ossification of the ligamentum flavum (OLF) is commonly treated with surgical decompression. (thenerve.net)
- The term CSM includes degenerative pathologies (e.g: cervical spondylosis, degenerative disc disease, ossification of posterior longitudinal ligament) resulting in compression of spinal cord and a cluster of clinical features characterized by imbalance, decreased fine motor function of hands with or without sphincter dysfunction. (jcorth.com)
- Ossification (calcification or hardening) of the posterior longitudinal ligament or hypertrophy of the ligamentum flavum can result in spinal cord compression. (chiropractic-in-malaysia.com)
Approach for thoracic1
- Decompression without posterior fixation could allow thoracolumbar motion preservation and might be an effective approach for thoracic OLF with disc degeneration. (thenerve.net)
OPLL3
- It has been estimated that nearly 25% of patients with cervical myelopathy will have features of OPLL. (medscape.com)
- It has been estimated that up to 25% of patients presenting with cervical myelopathy have features of OPLL. (medscape.com)
- To treat myelopathy and ossified posterior longitudinal ligament (OPLL), there are two approaches that can expand the spinal canal. (wikipedia.org)
Laminectomy2
- The next method is called, en bloc laminoplasty, and it was a modification of the en bloc laminectomy, which was developed by Tsuji. (wikipedia.org)
- However there is still no consensus in the literature with respect to efficacy of MIS versus open cervical decompression, laminectomy versus laminoplasty and the role of adjuvant pharmacological treatment in CSM[1]. (jcorth.com)
Ligamentum flavum5
- The interlaminar approach is commonly described as thoracic endoscopic unilateral laminotomy for bilateral decompression (TE-ULBD), which is typically indicated for pathologies such as ossified ligamentum flavum and other posteriorly based compressive pathologies. (jmisst.org)
- Both the outside-in (over the top of ligamentum flavum) and inside-out (under the ligamentum flavum) approaches can decompress the thoracic spinal canal through the uniportal interlaminar endoscopic route. (jmisst.org)
- One of the common causes of thoracic myelopathy is thoracic ossified ligamentum flavum (OLF). (jmisst.org)
- In lumbar spinal stenosis with posterior compressive pathologies such as thickened ligamentum flavum and facet cysts, there are several technical approaches described for LE-ULBD to achieve the same target of spinal decompression [ 10 - 13 ]. (jmisst.org)
- The main difference focuses on the over the top of ligamentum flavum decompression and under the ligamentum flavum decompression approach of LEULBD, which recently coined as Outside-in by Kim et al. (jmisst.org)
Decompressive1
- One of the common complications of decompressive thoracic OLF surgery is dura tear. (jmisst.org)
Stabilization1
- 11. Intraoperative radiotherapy combined with posterior decompression and stabilization for non-ambulant paralytic patients due to spinal metastasis. (nih.gov)
Patients9
- 17. Posterolateral spinal cord decompression in patients with metastasis: an endoscopic assisted approach. (nih.gov)
- Patients commonly present in their mid-40s or 50s with clinical evidence of myelopathy. (medscape.com)
- METHODS: This study was conducted as a retrospective study of twenty-eight healthy volunteers (HV) together with sixty-six patients who underwent cervical radiculopathy (CR), degenerative myelopathy (DM), and axial joint pain (AJP) from January 2020 to March 2022. (bvsalud.org)
- In patients with ASD undergoing major thoracolumbar realignment surgery, concurrent CSCC potentially increases the risk of progression of myelopathy or cervical cord injury due to various perioperative factors including poor intraoperative neck positioning and hypotension. (medscape.com)
- Thirty-five of 41 patients were asymptomatic or with myelopathy that is difficult to detect. (medscape.com)
- Four patients (3.3%) underwent cervical decompression and fusion prior to thoracolumbar reconstruction. (medscape.com)
- Preoperative evaluation of cervical MRI and examinations for signs/symptoms of myelopathy are essential for patients with (1) older age, (2) increased BMI, and (3) high PI-LL mismatch to avoid progressive myelopathy or cord injury during ASD surgery. (medscape.com)
- [ 1 ] In addition, concurrent cervical spinal cord compression (CSCC) in patients with ASD can potentially increase the risk of progression of myelopathy or cervical cord injury. (medscape.com)
- Segmental cervical kyphosis has been considered to be one of the important predictors of outcome following cervical decompression in patients with CSM. (jcorth.com)
Gait1
- Thoracic myelopathy is an insidious and debilitating spinal condition leading to gait instability, thoracic back and radicular pain and lower limb weakness and numbness. (jmisst.org)
Vertebral2
Transforaminal2
- Uniportal full endoscopic thoracic endoscopic surgery can be performed through transforaminal and interlaminar approaches. (jmisst.org)
- Most of the literature on thoracic endoscopic decompression focuses on the anterior transthoracic retropleural transforaminal endoscopic thoracic discectomy. (jmisst.org)
Anterior4
- 4. Anterior thoracic corpectomy for spinal cord decompression performed endoscopically. (nih.gov)
- 9. Total thoracic vertebrectomy with anterior and posterior column reconstruction via single posterior approach. (nih.gov)
- While anterior approaches may provide more direct decompression and best improve myelopathy scores, there is soft-tissue morbidity associated with the anterior approach. (medscape.com)
- These approaches are the anterior approach which is a direct removal of the cord compressing lesion, or a posterior approach which is an indirect decompression of the spinal cord. (wikipedia.org)
Thoracolumbar1
- Clinical variables (Japanese Orthopaedic Association scores) and radiological variables (including sagittal vertical axis, pelvic tilt, thoracic kyphosis, sacral slope, lumbar lordosis (LL), segmental Cobb's angle, dynamic Cobb's angle, and dynamic thoracolumbar junction [dTLJ] at the operated level) were measured preoperatively and 1 year postoperatively. (thenerve.net)
Neck pain4
- However, there often is associated axial neck pain and less improvement in myelopathy scores. (medscape.com)
- Neck pain can result from muscle spams, ligament weakness, spinal joint, and spinal disc issues. (chiropractic-in-malaysia.com)
- Where Can You Get The Best Treatment For Cervical Myelopathy Or Neck Pain In Malaysia? (chiropractic-in-malaysia.com)
- Treating neck pain caused by cervical myelopathy is no easy task. (chiropractic-in-malaysia.com)
Endoscopic1
- 6 ] described in separate literature of the use of uniportal Thoracic Endoscopic Unilateral Laminotomy With Bilateral Decompression (TE-ULBD) with good clinical results and lower complication rates. (jmisst.org)
Fractures1
- 13. Single-stage posterior corpectomy and expandable cage placement for treatment of thoracic or lumbar burst fractures. (nih.gov)
Cervical spondylosis1
- Cervical Myelopathy is a common form of neurologic impairment caused by compression of the cervical spinal cord most commonly due to degenerative cervical spondylosis. (orthobullets.com)
Clinical1
- Decompression surgery for OLF resulted in clinical improvement regardless of whether posterior fixation was performed. (thenerve.net)
Surgery1
- Once surgery is deemed to be required, decompression surgery is the best option. (bvsalud.org)
Reconstruction1
- 14. Posterior thoracic corpectomy with cage reconstruction for metastatic spinal tumors: comparing the mini-open approach to the open approach. (nih.gov)
Common1
- Disc herniation, extrusion, bulges, protrusions, or slip disc in the neck is another common cause of cervical myelopathy. (chiropractic-in-malaysia.com)
Treatment1
- Expert corrective chiropractors in Kuala Lumpur along with physiotherapists offer our slipped disc and cervical myelopathy treatment programs. (chiropractic-in-malaysia.com)
Disc2
- On the other hand, ligament, joint, and spinal disc-related neck conditions are more complex. (chiropractic-in-malaysia.com)
- Published studies link cervical myelopathies that are caused by slipped discs to degenerative disc disease. (chiropractic-in-malaysia.com)