Resection of Beak-Type Thoracic Ossification of the Posterior Longitudinal Ligament from a Posterior Approach under Intraoperative Neurophysiological Monitoring for Paralysis after Posterior Decompression and Fusion Surgery. Imagama, S., Ando, K., Ito, Z., Kobayashi, K., Hida, T., Ito, K., Ishikawa, Y., Tsushima, M., Matsumoto, A., Tanaka, S., Morozumi, M., Machino, M., Ota, K., Nakashima, H., Wakao, N., Nishida, Y., Matsuyama, Y., & Ishiguro, N. Technical Report 3Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan, Shizuoka, February, 2016.
Resection of Beak-Type Thoracic Ossification of the Posterior Longitudinal Ligament from a Posterior Approach under Intraoperative Neurophysiological Monitoring for Paralysis after Posterior Decompression and Fusion Surgery [link]Paper  abstract   bibtex   
Posterior decompression and fusion surgery for beak-type thoracic ossification of the posterior longitudinal ligament (T-OPLL) generally has a favorable outcome. However, some patients require additional surgery for postoperative severe paralysis, a condition that is inadequately discussed in the literature. The objective of this study was to describe the efficacy of a procedure we refer to as “resection at an anterior site of the spinal cord from a posterior approach” (RASPA) for severely paralyzed patients after posterior decompression and fusion surgery for beak-type T-OPLL. Die posteriore Dekompressions- und Fusionschirurgie bei schnabeltypischer thorakaler Verknöcherung des hinteren Längsbandes (T-OPLL) hat im Allgemeinen ein günstiges Ergebnis. Einige Patienten benötigen jedoch eine zusätzliche Operation wegen postoperativer schwerer Lähmungen, ein Zustand, der in der Literatur nur unzureichend diskutiert wird. Das Ziel dieser Studie war es, die Wirksamkeit eines Verfahrens zu beschreiben, das wir als "Resektion an einer anterioren Stelle des Rückenmarks von einem posterioren Zugang" (RASPA) für schwer gelähmte Patienten nach einer posterioren Dekompressions- und Fusionschirurgie für T-OPLL vom Schnabeltyp bezeichnen.
@techreport{imagama_resection_2016,
	address = {Shizuoka},
	type = {Prospective clinical study},
	title = {Resection of {Beak}-{Type} {Thoracic} {Ossification} of the {Posterior} {Longitudinal} {Ligament} from a {Posterior} {Approach} under {Intraoperative} {Neurophysiological} {Monitoring} for {Paralysis} after {Posterior} {Decompression} and {Fusion} {Surgery}},
	copyright = {This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License},
	url = {https://journals.sagepub.com/doi/full/10.1055/s-0036-1579662},
	abstract = {Posterior decompression and fusion surgery for beak-type thoracic ossification of the posterior longitudinal ligament (T-OPLL) generally has a favorable outcome. However, some patients require additional surgery for postoperative severe paralysis, a condition that is inadequately discussed in the literature. The objective of this study was to describe the efficacy of a procedure we refer to as “resection at an anterior site of the spinal cord from a posterior approach” (RASPA) for severely paralyzed patients after posterior decompression and fusion surgery for beak-type T-OPLL.

Die posteriore Dekompressions- und Fusionschirurgie bei schnabeltypischer thorakaler Verknöcherung des hinteren Längsbandes (T-OPLL) hat im Allgemeinen ein günstiges Ergebnis. Einige Patienten benötigen jedoch eine zusätzliche Operation wegen postoperativer schwerer Lähmungen, ein Zustand, der in der Literatur nur unzureichend diskutiert wird. Das Ziel dieser Studie war es, die Wirksamkeit eines Verfahrens zu beschreiben, das wir als "Resektion an einer anterioren Stelle des Rückenmarks von einem posterioren Zugang" (RASPA) für schwer gelähmte Patienten nach einer posterioren Dekompressions- und Fusionschirurgie für T-OPLL vom Schnabeltyp bezeichnen.},
	language = {Englisch},
	institution = {3Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan},
	author = {Imagama, Shiro and Ando, Kei and Ito, Zenya and Kobayashi, Kazuyoshi and Hida, Tetsuro and Ito, Kenyu and Ishikawa, Yoshimoto and Tsushima, Mikito and Matsumoto, Akiyuki and Tanaka, Satoshi and Morozumi, Masayoshi and Machino, Masaaki and Ota, Kyotaro and Nakashima, Hiroaki and Wakao, Norimitsu and Nishida, Yoshihiro and Matsuyama, Yukihiro and Ishiguro, Naoki},
	month = feb,
	year = {2016},
}

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