Your browser doesn't support javascript.
loading
Lamina-Lifting Suspension Modification in Bridge Crane Technique in Treatment of Severe Thoracic Ossification of the Ligamentum Flavum (TOLF).
Zhang, Ye; Ou, Yunsheng; Luo, Wei; Qin, Wanyuan; Xiong, Tuotuo; Zhu, Yong.
Afiliación
  • Zhang Y; Department of Orthopedcis, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China (mainland).
  • Ou Y; Orthopedic Laboratory of Chongqing Medical University, Chongqing, China (mainland).
  • Luo W; Department of Orthopedcis, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China (mainland).
  • Qin W; Orthopedic Laboratory of Chongqing Medical University, Chongqing, China (mainland).
  • Xiong T; Department of Orthopedcis, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China (mainland).
  • Zhu Y; Orthopedic Laboratory of Chongqing Medical University, Chongqing, China (mainland).
Med Sci Monit ; 29: e941803, 2023 Dec 15.
Article en En | MEDLINE | ID: mdl-38098214
ABSTRACT
BACKGROUND The aim of this study was to investigate the effectiveness and potential complications of combining a lamina-lifting suspension system with the bridge crane technique in treating thoracic ossification of the ligamentum flavum (TOLF) with thoracic myelopathy. MATERIAL AND METHODS A patient with severe TOLF and myelopathy was treated using a lamina-lifting suspension system combined with bridge crane technique. The brief surgical procedure involved implantation of internal fixation, separation of laminae, installation of cross-bridges, reverse lifting, and fixation of cross-bridges. The modified Japanese Orthopaedic Association (mJOA) scale, Hirabayashi recovery rate, and ASIA grade of the patient were recorded. The canal occupation ratio (COR) and spinal cord status were evaluated by imaging data. RESULTS The surgical intervention significantly enhances the patient's lower limb function, as evidenced by an increase in mJOA score from 5 preoperatively to 11 at terminal follow-up. The Hirabayashi recovery rate after surgery ranges between 25% and 50%. Additionally, ASIA classification improved to grade E. Imaging data showed that the ossification of the thoracic vertebrae had subsided, while the volume of the local spinal canal had recovered and the spinal cord injury had been completely relieved. No adverse effects or complications were observed. CONCLUSIONS The lamina-lifting suspension system preserves the benefits of bridge crane technique while also augmenting the traction of a post laminae-OLF complex (LOC) suspension, rendering it more secure and manageable. Nevertheless, further sample analysis and research are required in the future.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Médula Espinal / Osificación Heterotópica / Ligamento Amarillo Límite: Humans Idioma: En Revista: Med Sci Monit Asunto de la revista: MEDICINA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de la Médula Espinal / Osificación Heterotópica / Ligamento Amarillo Límite: Humans Idioma: En Revista: Med Sci Monit Asunto de la revista: MEDICINA Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos