{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:19:39Z","timestamp":1753881579853,"version":"3.41.2"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T00:00:00Z","timestamp":1618963200000},"content-version":"vor","delay-in-days":110,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Military Medical Science and Technology Youth Training Project","award":["18QNP015","2012Y146","18411964800","14CG37"],"award-info":[{"award-number":["18QNP015","2012Y146","18411964800","14CG37"]}]},{"name":"Youth Research Project of Shanghai Municipal Health Bureau","award":["18QNP015","2012Y146","18411964800","14CG37"],"award-info":[{"award-number":["18QNP015","2012Y146","18411964800","14CG37"]}]},{"name":"Science Research Project of Science and Technology Commission of Shanghai Municipality","award":["18QNP015","2012Y146","18411964800","14CG37"],"award-info":[{"award-number":["18QNP015","2012Y146","18411964800","14CG37"]}]},{"name":"Chenguang Program of Shanghai Municipal Education Commission","award":["18QNP015","2012Y146","18411964800","14CG37"],"award-info":[{"award-number":["18QNP015","2012Y146","18411964800","14CG37"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. (1) To propose a novel technique named thoracic extensive laminoplasty (TELP) in curing severe thoracic ligamentum flavum ossification (STOLF) and (2) to compare outcomes between TELP and laminectomy in curing STOLF. <jats:italic>Methods<\/jats:italic>. Cases with fused or tuberous STOLF (Sato classification) treated from Jan 2015 to Jan 2017 were reviewed and divided into the TELP group (G1) and laminectomy group (G2) according to their surgical management. Data on demographics, complications, pre\u2010 and postoperative symptoms, residual spinal canal area (RSCA\u20101), residual spinal cord area (RSCA\u20102), modified Japanese Orthopedic Association score (mJOA), and health\u2010related quality of life (HRQOL, based on the SF\u201036) were collected. <jats:italic>Results<\/jats:italic>. Fifty\u2010nine G1 and sixty\u2010two G2 patients were enrolled. No significant differences in demographic data or preoperative data of RSCA\u20101, RSCA\u20102, mJOA, or HRQOL were observed between the two groups (<jats:italic>p<\/jats:italic> &gt; 0.05). Patients in G1 and G2 showed similar postoperative improvements in RSCA\u20101 and RSCA\u20102 at the final follow\u2010up (<jats:italic>p<\/jats:italic> &gt; 0.05). However, patients in G1 showed higher postoperative improvements in mJOA (OR = 2.706, 95% CI: 1.279~5.727, <jats:italic>p<\/jats:italic> = 0.008) at the final follow\u2010up. Patients in G1 also showed higher postoperative improvements in HRQOL than patients in G2 (<jats:italic>p<\/jats:italic> &lt; 0.05) at the final follow\u2010up, and patients with more severe STOLF presented with better improvements in HRQOL in G1 (<jats:italic>p<\/jats:italic> &lt; 0.05). Dural laceration and cerebrospinal fluid leakage were observed in seven G2 patients, and no complications were found in G1 patients after surgery. <jats:italic>Conclusion<\/jats:italic>. TELP is a novel, effective, and safer surgical technique in treating STOLF and could be a substitute for traditional laminectomy.<\/jats:p>","DOI":"10.1155\/2021\/8410317","type":"journal-article","created":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T20:32:22Z","timestamp":1619037142000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparing Thoracic Extensive Laminoplasty (TELP) and Laminectomy in Treating Severe Thoracic Ligamentum Flavum Ossification: A Proposed Novel Technique and Case\u2010Control 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