{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T11:16:46Z","timestamp":1781781406818,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,6,14]],"date-time":"2017-06-14T00:00:00Z","timestamp":1497398400000},"content-version":"vor","delay-in-days":44,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To report the results of the posterior approach for thoracic ossification of posterior longitudinal ligament (<jats:styled-content style=\"fixed-case\">TOPLL<\/jats:styled-content>) by using a special \u201cL\u201d osteotome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present study enrolled 16 consecutive patients (9 men and 7 women) between May 2009 and September 2013. All patients underwent a posterior circumferential decompression osteotomy and segmental instrumentation with interbody fusion. The mean age at surgery was 57.3 years (range, 37\u201368 years). Patients\u2019 data, clinical manifestation, blood loss, length of surgery, complications, visual analog scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>), Japanese Orthopedic Association (<jats:styled-content style=\"fixed-case\">JOA<\/jats:styled-content>), and Frankel grading system before and after surgery were collected and evaluated, retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average follow\u2010up period was 30 \u00b1 19 months (range, 12\u201350 months). All patients were successfully treated with posterior compression and segmental instrumentation with interbody fusion. The average operation time was 261.6 \u00b1 51.3 min (range, 190\u2013310 min). The mean blood loss was 980.3 \u00b1 370.5 mL (range, 600\u20132100 mL). All patients had subjective improvement of motor power and gait. Average preoperative and postoperative<jats:styled-content style=\"fixed-case\">JOA<\/jats:styled-content>scores were 4.2 \u00b1 1.7 and 7.8 \u00b1 2.5 points, respectively. Differences in the overall<jats:styled-content style=\"fixed-case\">JOA s<\/jats:styled-content>cores showed significant postoperative improvement. At the last follow\u2010up, all patients improved either by one or two Frankel grades. There was a significant difference between preoperative<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>scores and those 3 months after surgery (<jats:italic>P<\/jats:italic>&lt; 0.05). No significant difference was observed between the 3\u2010month and 12\u2010month results (<jats:italic>P &gt;<\/jats:italic>0.05). Cerebrospinal fluid (<jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content>) leakage occurred in 3 patients. Acute neurological deterioration was encountered postoperatively in 1 patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Treatment with posterior transpedicular osteotomy and circumferential decompression was found to be safe, effective, reliable, and technically feasible, and keeping the thoracic cavity intact avoids many shortcomings of anterior surgery and results in a satisfactory spinal decompression.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12331","type":"journal-article","created":{"date-parts":[[2017,6,15]],"date-time":"2017-06-15T01:13:16Z","timestamp":1497489196000},"page":"206-214","source":"Crossref","is-referenced-by-count":14,"title":["Treatment for Thoracic Ossification of Posterior Longitudinal Ligament with Posterior Circumferential Decompression"],"prefix":"10.1111","volume":"9","author":[{"given":"Zhao\u2010wan","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Spine Surgery Weifang People's Hospital Weifang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong\u2010cheng","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Bone Oncology Tianjin Hospital Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chui\u2010guo","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Peking University Third Hospital Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010peng","family":"Shang","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Weifang People's Hospital Weifang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deng\u2010xing","family":"Lun","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Weifang People's Hospital Weifang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Weifang People's Hospital Weifang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu\u2010bin","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Weifang People's Hospital Weifang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Da\u2010yong","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Weifang People's Hospital Weifang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nai\u2010wang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Weifang People's Hospital Weifang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing\u2010shan","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery Weifang People's Hospital Weifang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,6,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31816c913b"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181cef65a"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199405000-00010"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200205150-00012"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200107150-00025"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000193940.75354.e5"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3171\/SPI-07\/07\/013"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31815e3911"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181714515"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000220834.22131.fb"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-0956-2"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3171\/2011.6.SPINE10816"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-4-431-32563-5_31"},{"key":"e_1_2_7_15_1","first-page":"1499","article-title":"Updates of ossification of posterior longitudinal ligament. Clinical results and complication of surgery for thoracic myelopathy due to ossification of posterior longitudinal ligament","volume":"19","author":"Yamazaki M","year":"2009","journal-title":"Clin Calcium"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2006.5.2.133"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0b013e318060091a"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-1266-4"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-013-3054-4"},{"key":"e_1_2_7_20_1","doi-asserted-by":"crossref","first-page":"219","DOI":"10.3760\/cma.j.issn.0366-6999.2009.02.020","article-title":"Classification and management of the tandem ossification of the posterior longitudinal ligament and flaval ligament","volume":"122","author":"Guo JJ","year":"2009","journal-title":"Chin Med J (Engl)"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bsd.0000155033.63557.9c"},{"key":"e_1_2_7_22_1","first-page":"81","article-title":"Surgical indication of the posterior decompression and fusion for thoracic myelopathy due to ossification of the posterior longitudinal ligament of the spine according to its clinical result","volume":"16","author":"Yamazaki M","year":"2004","journal-title":"East Japan J Orthop Traumat"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199011010-00006"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101807"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100487"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fos.12331","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.12331","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T19:46:44Z","timestamp":1719258404000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.12331"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5]]},"references-count":24,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1111\/os.12331"],"URL":"https:\/\/doi.org\/10.1111\/os.12331","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5]]}}}