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Journal of neurosurgery · Jul 2003
Image-guided resection for thoracic ossification of the ligamentum flavum.
- Atsushi Seichi, Susumu Nakajima, Katsushi Takeshita, Tomoaki Kitagawa, Toru Akune, Hiroshi Kawaguchi, and Kozo Nakamura.
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan. seichi-ort@h.u-tokyo.ac.jp
- J. Neurosurg. 2003 Jul 1; 99 (1 Suppl): 60-3.
ObjectThe purpose of this study was to evaluate the advantages of using an image guidance system to aid in the resection of ossified of the ligamentum flavum (OLF) in the thoracic spine. The procedure and surgery-related outcome are discussed.MethodsTen patients with myelopathy underwent laminotomy with medial facetectomy and an image guidance system was used to remove the OLF. No neurological deterioration occurred, and postoperative computerized tomography scanning demonstrated successful decompression and good preservation of the lateral parts of the facet joints.ConclusionsThe image guidance system allows accurate resection of the OLF while preserving as much as possible the facet joints and posterior elements of the thoracic spine.
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