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OPLL pp 225–230Cite as

Choice of Surgical Procedures for Thoracic Ossification of the Posterior Longitudinal Ligament

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Conclusions

In our opinion, for patients with both cervical and thoracic OPLL, wide-ranging posterior decompression surgery with or without instrumentation is the treatment of choice [14]. For localized and exceedingly thick OPLL without cervical OPLL, either (1) posterior decompression and correction of thoracic kyphosis by instrumentation with or without a second anterior surgery or (2) anterior surgery may be the choice. The authors have not yet determined which of these two procedures is better. When the spinal cord is compressed by OLF together with thoracic OPLL, posterior surgery alone or posterior and anterior surgery is the choice.

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References

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Atsushi Seichi, Katsushi Takeshita & Kozo Nakamura

Authors
  1. Atsushi Seichi
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  2. Katsushi Takeshita
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  3. Kozo Nakamura
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Editor information

Editors and Affiliations

  1. National Hospital Organization, Osaka-Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka, 586-8521, Japan

    Kazuo Yonenobu M.D., D.Med.Sc. (Vice-Director) (Vice-Director)

  2. Department of Orthopaedic Surgery Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Kozo Nakamura M.D., Ph.D. (Professor and Chairman) (Professor and Chairman)

  3. Department of Orthopedic Surgery School of Medicine, Keio University 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan

    Yoshiaki Toyama M.D., Ph.D. (Professor and Chairman) (Professor and Chairman)

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© 2006 Springer

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Seichi, A., Takeshita, K., Nakamura, K. (2006). Choice of Surgical Procedures for Thoracic Ossification of the Posterior Longitudinal Ligament. In: Yonenobu, K., Nakamura, K., Toyama, Y. (eds) OPLL. Springer, Tokyo. https://doi.org/10.1007/978-4-431-32563-5_31

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  • DOI: https://doi.org/10.1007/978-4-431-32563-5_31

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-32561-1

  • Online ISBN: 978-4-431-32563-5

  • eBook Packages: MedicineMedicine (R0)

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