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Management of ossification of the posterior longitudinal ligament of the thoracic spine

机译：胸椎后纵韧带骨化的处理

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The management of thoracic ossification of the posterior longitudinal ligament has been studied by many spinal surgeons. Indications for operative intervention include progressive radiculopathy, myelopathy, and neurological deterioration. The ideal surgery for decompression remains highly debatable as various methods of surgical treatment of ossification of the posterior longitudinal ligament have been devised. Although numerous modifications to the 3 main approaches have been identified (anterior, posterior, or lateral), the indication for each depends on the nature of compression, the morphology of the lesion, the level of the compression, the structural alignment of the spine, and the neurological status of the patient. The authors discuss treatment techniques for thoracic ossification of the posterior longitudinal ligament, cite case examples from a single institution, and review the literature.
机译：许多脊柱外科医生已经研究了后纵韧带的胸骨骨化的治疗方法。手术干预的指征包括进行性神经根病，脊髓病和神经系统恶化。理想的减压手术仍然值得商as，因为已经设计出各种治疗后纵韧带骨化的方法。尽管已确定对3种主要方法（前，后或外侧）进行了多种修改，但每种方法的适应症取决于压迫的性质，病变的形态，压迫的程度，脊柱的结构对准，以及患者的神经系统状况。作者讨论了后纵韧带胸椎骨化的治疗技术，列举了单个机构的病例实例，并回顾了文献。

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