OPLL颈椎后纵韧带骨化_培训课件.pptVIP

Take Home Messages Thank You ! Exposure is provided by the standard Smith-Robinson approach, and diskectomy, hemicorpectomy,or subtotal corpectomy sufficient to allow exposure of the underlying OPLL mass is performed Corpectomies of up to five levels have been performed with success,but removal of three or more contiguous levels is associated with increased complication and reoperation rates Complications occur as part of the approach (eg, dysphagia, dysphonia), the decompression (eg, C5 palsy, dural tears), or the fusion (eg,graft subsidence, pseudarthrosis) Nerve root palsies occur in 4% to