{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T18:07:17Z","timestamp":1777486037283,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,23]],"date-time":"2024-11-23T00:00:00Z","timestamp":1732320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82172381"],"award-info":[{"award-number":["82172381"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Anterior controllable antedisplacement and fusion (ACAF) is an emerging surgical approach for treating cervical ossification of the posterior longitudinal ligament (C\u2010OPLL), yet there is limited data on its long\u2010term efficacy and safety. The present study aimed to analyze the short\u2010 and long\u2010term postoperative clinical and radiological outcomes and perioperative complications of ACAF for patients with C\u2010OPLL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a single\u2010center, retrospective, cohort study, with the mean duration of follow\u2010up of at least 24\u2009months. A total of 111 patients with C\u2010OPLL in our institution from June 2017 to June 2019 were assessed preoperatively and at 3\u2009days, 3, 6, 12, and 24\u2009months postoperatively. The primary outcome was the recovery of neurological function, measured with the Japanese Orthopedic Association (JOA) score. The secondary outcomes included pain, Cobb angle, spinal canal invasion rate, and surgery\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The postoperative JOA score at each follow\u2010up was significantly better than the preoperative JOA score, regardless of preoperative spinal canal invasion rate, K\u2010line, and segment length. The visual analog scale (VAS) score also decreased dramatically 3\u2009days after surgery and was maintained at a low level throughout the follow\u2010up period. Improvements in Cobb angle and invasion rate were observed right after the operation and were maintained for 2\u2009years thereafter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ACAF could achieve satisfactory recovery of neurological function in C\u2010OPLL patients during a follow\u2010up of 24\u2009months, regardless of preoperative spinal canal invasion rate, preoperative K\u2010line, or surgical segment length.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14300","type":"journal-article","created":{"date-parts":[[2024,11,23]],"date-time":"2024-11-23T10:38:46Z","timestamp":1732358326000},"page":"416-426","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long\u2010Term Follow\u2010Up"],"prefix":"10.1111","volume":"17","author":[{"given":"Yangyang","family":"Shi","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Changzheng Hospital Naval Medical University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0272-8383","authenticated-orcid":false,"given":"Kaiqiang","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Changzheng Hospital Naval Medical University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linhui","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Changzheng Hospital Naval Medical University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Changzheng Hospital Naval Medical University  Shanghai 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