Resection of Beak-Type Thoracic Ossification of the Posterior Longitudinal Ligament from a Posterior Approach under Intraoperative Neurophysiological Monitoring for Paralysis after Posterior Decompression and Fusion Surgery

Conclusions RASPA surgery for beak-type T-OPLL after posterior decompression and fusion surgery resulted in good functional outcomes as a salvage surgery for patients with severe paralysis. Advantages of RASPA include a wide working space, no spinal cord retraction, and additional decompression at levels without T-OPLL resection and spinal cord shortening after additional dekyphosis and compression maneuvers. When used with IONM, this procedure may help avoid permanent postoperative paralysis.[...]Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents  |  Abstract  |  open access Full text

Source: Global Spine Journal - February 24, 2016 Category: Orthopaedics Authors: Imagama, ShiroAndo, KeiIto, ZenyaKobayashi, KazuyoshiHida, TetsuroIto, KenyuIshikawa, YoshimotoTsushima, MikitoMatsumoto, AkiyukiTanaka, SatoshiMorozumi, MasayoshiMachino, MasaakiOta, KyotaroNakashima, HiroakiWakao, NorimitsuNishida, YoshihiroMatsuyama, Y Tags: Technical Report Source Type: research