{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T18:18:34Z","timestamp":1790878714131,"version":"4.1.0"},"reference-count":28,"publisher":"Japanese Society for Spine Surgery and Related Research","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Spine Surg Relat Res"],"published-print":{"date-parts":[[2018,7,25]]},"DOI":"10.22603\/ssrr.2017-0044","type":"journal-article","created":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T17:18:39Z","timestamp":1519751919000},"page":"169-176","source":"Crossref","is-referenced-by-count":27,"title":["Surgical Treatment for Ossification of the Posterior Longitudinal Ligament (OPLL) at the Thoracic Spine: Usefulness of the Posterior Approach"],"prefix":"10.22603","volume":"2","author":[{"given":"Shigeru","family":"Hirabayashi","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Teikyo University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Kitagawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Teikyo University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iwao","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Teikyo University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuaki","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Teikyo University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotaka","family":"Kawano","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Teikyo University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"9891","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1. Kurosa Y, Yamaura I, Nakai O, et al. Selecting a surgical method for thoracic myelopathy caused by ossification of the posterior longitudinal ligament. Spine. 1996;21 (12):1458-66.","DOI":"10.1097\/00007632-199606150-00012"},{"key":"2","unstructured":"2. Ohtsuka K, Terayama K, Yanagihara M, et al. An epidemiological survey on ossification of ligaments in the cervical and thoracic spine in individuals over 50 years of age. J Jpn Orthop Ass. 1986;60 (11):1087-98."},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Takahata M, Ito M, Abumi K, et al. Clinical results and complications of circumferential spinal cord decompression through a single posterior approach for thoracic myelopathy caused by ossification of posterior longitudinal ligament. Spine. 2008;33 (11):1199-208.","DOI":"10.1097\/BRS.0b013e3181714515"},{"key":"4","unstructured":"4. Hirabayashi S, Matsushita T, Tsuzuki N. Surgical treatment for ossification of the ligaments at the thoracic spine especially for OPLL. Sekituisekizui (Spine & Spinal cord). 2009;22 (2):171-8. Japanese."},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Fujimura Y, Nishi Y, Nakamura M, et al. Myelopathy secondary to ossification of the posterior longitudinal ligament of the thoracic spine treated by anterior decompression and bony fusion. Spinal Cord. 1997;35 (11):777-84.","DOI":"10.1038\/sj.sc.3100487"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Ito Z, Matsuyama Y, Ando M. et al. Postoperative paralysis from thoracic ossification of posterior longitudinal ligament surgery Risk factor of neurologic Injury: Nationwide multi-institution survey. Spine. 2016;41 (19):E1159-63.","DOI":"10.1097\/BRS.0000000000001585"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7. Di Chiro G, Fried LC. Blood flow currents in spinal cord arteries. Neurology. 1971;21 (11):1088-96.","DOI":"10.1212\/WNL.21.11.1088"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8. Lazorthes G, Gouaze A, Zadeh J, et al. Arterial vascularization of the spinal cord. Recent studies of the anastomotic substitution pathways. J Neurosurg. 1971;35 (3):253-62.","DOI":"10.3171\/jns.1971.35.3.0253"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9. Hu P, Yu M, Liu X, et al. A circumferential decompression-based surgical strategy for multilevel ossification of thoracic posterior longitudinal ligament. Spine J. 2015;15 (12):2484-92.","DOI":"10.1016\/j.spinee.2015.08.060"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10. Yamazaki M, Mochizuki M, Ikeda Y et al. Clinical results of surgery for thoracic myelopathy caused by ossification of the posterior longitudinal ligament: operative indication of posterior decompression with instrumented fusion. Spine. 2006;31 (13):1452-60.","DOI":"10.1097\/01.brs.0000220834.22131.fb"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Li M, Meng H, Du J, et al. Management of thoracic myelopathy caused by ossification of the posterior longitudinal ligament combined with ossification of the ligamentum flavum-a retrospective study. Spine J. 2012;12 (12):1093-102.","DOI":"10.1016\/j.spinee.2012.10.022"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12. Koda M, Furuya T, Okawa A, et al. Mid- to long-term outcomes of posterior decompression with instrumented fusion for thoracic ossification of the posterior longitudinal ligament. J Clin Neurosci. 2016;27:87-90.","DOI":"10.1016\/j.jocn.2015.07.027"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. Onishi E, Yasuda T, Yamamoto H, et al. Outcomes of surgical treatment for thoracic myelopathy: A single-institutional study of 73 patients. Spine. 2016;41 (22):E1356-63.","DOI":"10.1097\/BRS.0000000000001622"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. Tsuzuki N, Hirabayashi S, Abe R et al. Staged spinal cord decompression through posterior approach for thoracic myelopathy caused by ossification of posterior longitudinal ligament. Spine. 2001;26 (14):1623-30.","DOI":"10.1097\/00007632-200107150-00025"},{"key":"15","unstructured":"15. Hirabayashi S, Tsuzuki N. Color Atlas of Spine Surgery. Edited by Yamashita T. Chugai Igaku Sha, 2013, III Surgery of the thoracic spine and the thoracic spinal cord. Section 2-C, Staged decompression surgery of the thoracic spinal cord via posterior approach; p247-56. Japanese."},{"key":"16","unstructured":"16. Hirabayashi S, Kitagawa T, Iwahori T, et al. Surgical technique and clinical results of circumferential decompression surgery via posterior approach alone for thoracic ossification of the posterior longitudinal ligament (OPLL). J.Spine Res. 2015;6 (5):886-91."},{"key":"17","doi-asserted-by":"crossref","unstructured":"17. Ando K, Imagama S, Ito Z, et al. Ponte osteotomy during dekyphosis for indirect posterior decompression with ossification of the posterior longitudinal ligament of the thoracic spine. Clin Spine Surg. 2017;30 (4):E358-62.","DOI":"10.1097\/BSD.0000000000000188"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18. Imagama S, Ando K, Ito Z, et al. Risk factors for ineffectiveness of posterior decompression and dekyphosis corrective fusion with instrumentation for beak-type thoracic ossification of the posterior longitudinal ligament: A single institute study. Neurosurgery. 2017;80 (5):800-8.","DOI":"10.1093\/neuros\/nyw130"},{"key":"19","unstructured":"19. Ohtsuka K, Terayama K, Tsuchiya T, et al. A surgical procedure of the anterior decompression of the thoracic spinal cord through the posterior approach. Seikeisaigaigeka. 1983;8:1083-90. Japanese."},{"key":"20","doi-asserted-by":"crossref","unstructured":"20. Tokuhashi Y, Matsuzaki H, Oda H, et al. Effectiveness of posterior decompression for patients with ossification of the posterior longitudinal ligament in the thoracic spine: usefulness of the ossification-kyphosis angle on MRI. Spine. 2006;31 (1):E26-30.","DOI":"10.1097\/01.brs.0000193940.75354.e5"},{"key":"21","doi-asserted-by":"crossref","unstructured":"21. Kato S, Murakami H, Demura S, et al. Novel surgical technique for ossification of posterior longitudinal ligament in the thoracic spine. J Neurosurg Spine. 2012;17 (6):525-9.","DOI":"10.3171\/2012.9.SPINE12617"},{"key":"22","doi-asserted-by":"crossref","unstructured":"22. Tomita K, Kawahara N, Baba H, et al. Circumferential decompression for thoracic myelopathy due to combined ossification of the posterior longitudinal ligament and ligamentum flavum. Spine. 1990;15 (11):1114-20.","DOI":"10.1097\/00007632-199011010-00006"},{"key":"23","doi-asserted-by":"crossref","unstructured":"23. Kawahara N, Tomita K, Murakami H, et al. Circumspinal decompression with dekyphosis stabilization for thoracic myelopathy due to ossification of the posterior longitudinal ligament. Spine. 2008;33 (1):39-46.","DOI":"10.1097\/BRS.0b013e31815e3911"},{"key":"24","doi-asserted-by":"crossref","unstructured":"24. Matsuyama Y, Yoshihara H, Tsuji T, et al. Surgical outcome of ossification of the posterior longitudinal ligament (OPLL) of the thoracic spine: implication of the type of ossification and surgical outcomes. J Spinal Disord Tech. 2005;18 (6):492-8.","DOI":"10.1097\/01.bsd.0000155033.63557.9c"},{"key":"25","doi-asserted-by":"crossref","unstructured":"25. Matsumoto M, Chiba K, Toyama Y, et al. Surgical results and related factors for ossification of posterior longitudinal ligament of the thoracic spine A multi-institutional retrospective study. Spine. 2008;33 (9):1034-41.","DOI":"10.1097\/BRS.0b013e31816c913b"},{"key":"26","doi-asserted-by":"crossref","unstructured":"26. Onishi E, Sano H, Matsushita M. Surgical treatment for thoracic myelopathy due to simultaneous ossification of the posterior longitudinal ligament and ligamentum flavum at the same level. Clin Spine Surg. 2016;29 (8):E389-95.","DOI":"10.1097\/BSD.0000000000000059"},{"key":"27","doi-asserted-by":"crossref","unstructured":"27. Imagama S, Ando K, Kobayashi K, et al. Atypical vertebral column fracture at the middle of fused area after instrumented posterior decompression and fusion surgery for beak type thoracic ossification of the posterior longitudinal ligament. J Orthop Sci. 2016. doi: 10.1016\/j.jos.2016.09.015.","DOI":"10.1016\/j.jos.2016.09.015"},{"key":"28","doi-asserted-by":"crossref","unstructured":"28. Ido K, Shimizu K, Nakayama Y, et al. Anterior decompression and fusion for ossification of posterior longitudinal ligament in the thoracic spine. J Spinal Disord. 1995;8 (4):317-23.","DOI":"10.1097\/00002517-199508040-00010"}],"container-title":["Spine Surgery and Related Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/ssrr\/2\/3\/2_2017-0044\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,7,28]],"date-time":"2018-07-28T00:56:58Z","timestamp":1532739418000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/ssrr\/2\/3\/2_2017-0044\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,25]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.22603\/ssrr.2017-0044","relation":{},"ISSN":["2432-261X"],"issn-type":[{"value":"2432-261X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,25]]}}}