Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long‐Term Follow‐Up
ABSTRACT Background Anterior controllable antedisplacement and fusion (ACAF) is an emerging surgical approach for treating cervical ossification of the posterior longitudinal ligament (C‐OPLL), yet there is limited data on its long‐term efficacy and safety. The present study aimed to analyze the sho...
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Wiley
2025-02-01
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| Series: | Orthopaedic Surgery |
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| Online Access: | https://doi.org/10.1111/os.14300 |
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| author | Yangyang Shi Kaiqiang Sun Linhui Han Chen Yan Jinyu Wang Jingyun Yang Yuan Wang Ximing Xu Jingchuan Sun Jiangang Shi |
| author_facet | Yangyang Shi Kaiqiang Sun Linhui Han Chen Yan Jinyu Wang Jingyun Yang Yuan Wang Ximing Xu Jingchuan Sun Jiangang Shi |
| author_sort | Yangyang Shi |
| collection | DOAJ |
| description | ABSTRACT Background Anterior controllable antedisplacement and fusion (ACAF) is an emerging surgical approach for treating cervical ossification of the posterior longitudinal ligament (C‐OPLL), yet there is limited data on its long‐term efficacy and safety. The present study aimed to analyze the short‐ and long‐term postoperative clinical and radiological outcomes and perioperative complications of ACAF for patients with C‐OPLL. Methods This was a single‐center, retrospective, cohort study, with the mean duration of follow‐up of at least 24 months. A total of 111 patients with C‐OPLL in our institution from June 2017 to June 2019 were assessed preoperatively and at 3 days, 3, 6, 12, and 24 months 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‐related complications. Results The postoperative JOA score at each follow‐up was significantly better than the preoperative JOA score, regardless of preoperative spinal canal invasion rate, K‐line, and segment length. The visual analog scale (VAS) score also decreased dramatically 3 days after surgery and was maintained at a low level throughout the follow‐up period. Improvements in Cobb angle and invasion rate were observed right after the operation and were maintained for 2 years thereafter. Conclusions ACAF could achieve satisfactory recovery of neurological function in C‐OPLL patients during a follow‐up of 24 months, regardless of preoperative spinal canal invasion rate, preoperative K‐line, or surgical segment length. |
| format | Article |
| id | doaj-art-0566e04c5cb4483d9d2782671376e367 |
| institution | Kabale University |
| issn | 1757-7853 1757-7861 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wiley |
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| series | Orthopaedic Surgery |
| spelling | doaj-art-0566e04c5cb4483d9d2782671376e3672025-02-03T03:10:59ZengWileyOrthopaedic Surgery1757-78531757-78612025-02-0117241642610.1111/os.14300Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long‐Term Follow‐UpYangyang Shi0Kaiqiang Sun1Linhui Han2Chen Yan3Jinyu Wang4Jingyun Yang5Yuan Wang6Ximing Xu7Jingchuan Sun8Jiangang Shi9Department of Orthopedic Surgery, Changzheng Hospital Naval Medical University Shanghai ChinaDepartment of Orthopedic Surgery, Changzheng Hospital Naval Medical University Shanghai ChinaDepartment of Orthopedic Surgery, Changzheng Hospital Naval Medical University Shanghai ChinaDepartment of Orthopedic Surgery, Changzheng Hospital Naval Medical University Shanghai ChinaDepartment of Orthopedic Surgery, Changzheng Hospital Naval Medical University Shanghai ChinaRush Alzheimer's Disease Center Rush University Medical Center Chicago Illinois USADepartment of Orthopedic Surgery, Changzheng Hospital Naval Medical University Shanghai ChinaDepartment of Orthopedic Surgery, Changzheng Hospital Naval Medical University Shanghai ChinaDepartment of Orthopedic Surgery, Changzheng Hospital Naval Medical University Shanghai ChinaDepartment of Orthopedic Surgery, Changzheng Hospital Naval Medical University Shanghai ChinaABSTRACT Background Anterior controllable antedisplacement and fusion (ACAF) is an emerging surgical approach for treating cervical ossification of the posterior longitudinal ligament (C‐OPLL), yet there is limited data on its long‐term efficacy and safety. The present study aimed to analyze the short‐ and long‐term postoperative clinical and radiological outcomes and perioperative complications of ACAF for patients with C‐OPLL. Methods This was a single‐center, retrospective, cohort study, with the mean duration of follow‐up of at least 24 months. A total of 111 patients with C‐OPLL in our institution from June 2017 to June 2019 were assessed preoperatively and at 3 days, 3, 6, 12, and 24 months 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‐related complications. Results The postoperative JOA score at each follow‐up was significantly better than the preoperative JOA score, regardless of preoperative spinal canal invasion rate, K‐line, and segment length. The visual analog scale (VAS) score also decreased dramatically 3 days after surgery and was maintained at a low level throughout the follow‐up period. Improvements in Cobb angle and invasion rate were observed right after the operation and were maintained for 2 years thereafter. Conclusions ACAF could achieve satisfactory recovery of neurological function in C‐OPLL patients during a follow‐up of 24 months, regardless of preoperative spinal canal invasion rate, preoperative K‐line, or surgical segment length.https://doi.org/10.1111/os.14300anterior controllable antedisplacement and fusioncervical ossification of posterior longitudinal ligamentsurgical outcomes |
| spellingShingle | Yangyang Shi Kaiqiang Sun Linhui Han Chen Yan Jinyu Wang Jingyun Yang Yuan Wang Ximing Xu Jingchuan Sun Jiangang Shi Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long‐Term Follow‐Up Orthopaedic Surgery anterior controllable antedisplacement and fusion cervical ossification of posterior longitudinal ligament surgical outcomes |
| title | Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long‐Term Follow‐Up |
| title_full | Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long‐Term Follow‐Up |
| title_fullStr | Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long‐Term Follow‐Up |
| title_full_unstemmed | Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long‐Term Follow‐Up |
| title_short | Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long‐Term Follow‐Up |
| title_sort | improved function after anterior controllable antedisplacement and fusion for cervical ossification of posterior longitudinal ligament a long term follow up |
| topic | anterior controllable antedisplacement and fusion cervical ossification of posterior longitudinal ligament surgical outcomes |
| url | https://doi.org/10.1111/os.14300 |
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