March 2002
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9 Reads
Orthopedics & Traumatology
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March 2002
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9 Reads
Orthopedics & Traumatology
September 2001
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2 Reads
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2 Citations
Orthopedics & Traumatology
September 2001
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1 Read
Orthopedics & Traumatology
March 2001
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5 Reads
Orthopedics & Traumatology
January 2001
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4 Reads
Orthopedics & Traumatology
September 2000
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5 Reads
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1 Citation
Orthopedics & Traumatology
September 2000
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8 Reads
Orthopedics & Traumatology
September 2000
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9 Reads
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1 Citation
Orthopedics & Traumatology
September 2000
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5 Reads
Orthopedics & Traumatology
September 1999
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6 Reads
Orthopedics & Traumatology
We report the effectiveness of instrumentation for aggravated thoracic myelopathy after laminectomy for ossification of the posterior longitudinal ligament (OPLL) and ossification of the yellow ligament (OYL). A 44-year-old woman with thoracic OPLL and OYL underwent laminectomy of T7-T11 at another hospital showed aggravation of myelopathy: muscle weakness and sensory loss developed in the sitting position, which however improved in the supine position. Radiological analysis showed that the kyphotic angle of T6-T12 was 6 degrees in the sitting position but it increased to 18 degrees in the supine position. Therefore posterior element defect due to laminectomy as well as obesity seemed to aggravate myelopathy. We corrected kyphosis using ISOLA and the kyphotic angle decreased corrected to 9 degrees. She became ambulatory with a cane after the surgery. Three months later we added anterior decompression and fusion of T7 to T9, and she could walk without any support. We recommend addition of posterior instrumentation after laminectomy in such obese patients with thoracic OPLL.
... [1] Hydrocephalus is a state in which abnormal dilation of the ventricle occurs due to a circulatory or absorptive disorder of the CSF. [2] A relationship between hydrocephalus and meningitis has been proposed, [3,4] with Uehara et al. suggesting that bacteria causing meningitis may cause exudative inflammation and infiltration of many neutrophils in the arachnoid space in 2 months after resection of a cervical cord tumor. [3] Kumaki et al. reported that a fibrinous component also develops, which spreads to the brain surface or subarachnoid space and causes adhesion, which impairs CSF circulation and finally leads to hydrocephalus in 5 months after cervical laminoplasty. ...
September 2001
Orthopedics & Traumatology
... Accordingly, the postoperative behavior of remnant tumors after IR, rather than the recurrence rate of tumors after GTR, should be highlighted, and several studies have investigated it. 4,7,[12][13][14][15] However, the reported growth rates of remnant tumors ranged widely from 16.7% 15 to 60%, 12,13 and most studies have failed to propose clinical implications to predict remnant tumor growth. Thus, this study investigated remnant tumor growth after IR of cervical DS and identified its predictive factors. ...
September 2000
Orthopedics & Traumatology