A New Surgical Technique: Open-window Corpectomy in the Treatment of Ossification of the Posterior Longitudinal Ligament and Advanced Cervical Spondylosis: Technical Note

A New Surgical Technique: Open-window Corpectomy in the Treatment of Ossification of the... AbstractOBJECTIVE:To achieve satisfactory cervical spinal cord decompression with minimal removal of bone.METHODS:The open-window corpectomy technique is designed to remove a minimal amount of bone and achieve satisfactory decompression. With the use of a high-speed drill under a surgical microscope, only the dorsal surface of the corpus is removed after appropriate microdiscectomies. This leaves the anterior and the lateral portions of the vertebral corpus intact.RESULTS:In a 15-month period, a total of 11 patients were treated with this technique. Five patients improved, and the remaining six patients remained the same neurologically during a mean follow-up period of 8.3 months. No complications were observed in any patients.CONCLUSION:The open-window corpectomy provides satisfactory spinal cord decompression in a biomechanically sound manner. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

A New Surgical Technique: Open-window Corpectomy in the Treatment of Ossification of the Posterior Longitudinal Ligament and Advanced Cervical Spondylosis: Technical Note

A New Surgical Technique: Open-window Corpectomy in the Treatment of Ossification of the Posterior Longitudinal Ligament and Advanced Cervical Spondylosis: Technical Note

TECHNICAL NOTES The technique described here is A New Surgical Technique: Open- termed an open-w indow corpectom y, because the technique leaves the ante­ window Corpectomy in the Treatment of rior and lateral portions of the vertebral corpus intact and removes only the pos­ Ossification of the Posterior Longitudinal terior wall (a "w in d o w "). This tech­ nique provides effective decompression Ligament and Advanced Cervical through the w indow , with minimal bone removal and therefore minimal al­ Spondylosis: Technical Note teration in cervical spine biomechanics. A discussion of outcom es of the tech­ nique, base on a review of the current • • literature, is presented. A. F a h i r O z e r , M . D . , B . T u n ^ O k t e n o g l u , M . D . , Ali £ e t i n S a r i o g l u , M . D . SU R G IC A L T EC H N IQ U E Department of Neurosurgery, Vehbi Ko<; Vakfi American Hospital, Istanbul, Turkey The patient is placed under general anesthesia in the supine position. Using an anterior approach, the posterior lon­ OBJECTIVE: To achieve satisfactory cervical spinal cord decompression with gitudinal ligaments are reached after minimal removal of bone. anterior m icrodiscectom ies of the inter­ METHODS: The open-window corpectomy technique is designed to remove a vertebral discs. Then, under a surgical microscope, a high-speed drill is used in minimal amount of bone and achieve satisfactory decompression. W ith the an upward direction from the connec­ use of a high-speed drill under a surgical microscope, only the dorsal surface tion of the posterior longitudinal liga­ of the corpus is removed after appropriate microdiscectomies. This leaves ment and the caudal surface of vertebral the anterior and the lateral portions of the vertebral corpus intact. corpus. The hole is broadened with the RESULTS: In a 15-month period, a total of 11 patients were treated with this assistance of the drill, and the O PL L is...
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Publisher
Congress of Neurological Surgeons
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199912000-00046
Publisher site
See Article on Publisher Site

Abstract

AbstractOBJECTIVE:To achieve satisfactory cervical spinal cord decompression with minimal removal of bone.METHODS:The open-window corpectomy technique is designed to remove a minimal amount of bone and achieve satisfactory decompression. With the use of a high-speed drill under a surgical microscope, only the dorsal surface of the corpus is removed after appropriate microdiscectomies. This leaves the anterior and the lateral portions of the vertebral corpus intact.RESULTS:In a 15-month period, a total of 11 patients were treated with this technique. Five patients improved, and the remaining six patients remained the same neurologically during a mean follow-up period of 8.3 months. No complications were observed in any patients.CONCLUSION:The open-window corpectomy provides satisfactory spinal cord decompression in a biomechanically sound manner.

Journal

NeurosurgeryOxford University Press

Published: Dec 1, 1999

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