Outcome of anterior key-hole corpectomy for cervical spondylotic myelopathy with ossification of posterior longitudinal ligament

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Aydin Y., Yüce İ., Cavusoglu H., Kahyaoglu O., Ataseven M.

Brain and Spine, cilt.3, ss.99-100, 2023 (Scopus)

  • Yayın Türü: Makale / Özet
  • Cilt numarası: 3
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1016/j.bas.2023.102082
  • Dergi Adı: Brain and Spine
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.99-100
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

Background: Anterior cervical corpectomy is an option to treatment of cervical spondylotic myelopathy with ossification of posterior longitudinal ligament and aims to protect the sagittal balance of the cervical spinal aligment by avoiding fusion.The aim of our study is to evaluate outcomes of anterior cervical key-hole corpectomy which is devoloped from the anterior oblique corpectomy for cervical myelopathy with ossification of posterior longitudinal ligament.

Methods: 94 patients were treated for single or multilevel ossification of posterior longitudinal ligament with cervical myelopathy by anterior cervical keyhole corpectomy between 2010 and 2022. They were investigated preoperative and follow-up radiological investigations, a Visual Analogue Scale for arm and neck, and the Japanese Orthopedic Association score.

Results: The patient population included 41 (43,6%) male and 53 (56,4%) female. Their ages ranged from 41 to 74 years, with a mean age of 53,7 years. The mean follow-up time was 29,3 months (range, 13–60 months). Duration of symptoms ranged from 10 to 47 months. 44 patients underwent a single-level corpectomy, 38 patients underwent a two-level corpectomy, and 12 patients underwent a three-level corpectomy. The Visual Analogue Scale (arm and neck) scores decreased significantly and the Japanese Orthopedic Association scores demonstrated significant improvement in early and follow-up results (p<0,05). Differences of cervical alignment between preoperative and follow-up is not statistically significant (p>0,05).

Conclusions: Anterior cervical key-hole corpectomy for cervical myelopathy with ossification of posterior longitudinal ligament allows sufficient and safe decompression of the neural structures, resulted in a significant reduction of symptoms and disability,