OPLL颈椎后纵韧带骨化.ppt

Disadvantages include technical difficulty, inability to decompress cranial to C2, and high rates of pseudarthrosis and dysphagia when three or more levels require treatment Dural tears are also much more common with an anterior approach, given that anterior dural ossification occurs in 13% to 15% 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