Repeated cervical laminoplasty for progressive ossification of posterior longitudinal ligament: a case report

Close metadata

Posterior longitudinal ligament ossification is a progressive disease resulting in severe multilevel spinal stenosis with myelopathy. Decompression via anterior or posterior approach is the main treatment option. Decompressive laminoplasty is currently considered the most effective and safest method. This procedure provides favorable outcomes with low trauma and short surgery time. Redo surgeries are rare and most often performed within 2 years after primary laminoplasty. The most common causes are progressive spinal stenosis following posterior longitudinal ligament ossification, insufficient primary decompression and progressive cervical spine kyphosis. Considering few data on redo laminoplasty, we present a patient with progressive ossification of posterior longitudinal ligament who underwent redo surgery at the same level in 10 years after primary laminoplasty.

Keywords:

posterior longitudinal ligament ossification

redo laminoplasty

progressive spinal stenosis

Authors:

Magomedov Sh.Sh.

Vreden National Medical Research Center of Traumatology and Orthopedics

Mytyga P.G.

Vreden National Medical Research Center of Traumatology and Orthopedics

Received:

13.01.2022

Accepted:

18.11.2022

List of references:

Epstein N. Ossification of the cervical posterior longitudinal ligament: a review. Neurosurgical Focus. 2002;13(2):ECP1. https://doi.org/10.3171/foc.2002.13.2.16
Fujimori T, Watabe T, Iwamoto Y, Hamada S, Iwasaki M, Oda T. Prevalence, Concomitance, and Distribution of Ossification of the Spinal Ligaments: Results of Whole Spine CT Scans in 1500 Japanese Patients. Spine. 2016;41(21):1668-1676. https://doi.org/10.1097/BRS.0000000000001643
Matsunaga S, Sakou T. Ossification of the posterior longitudinal ligament of the cervical spine: etiology and natural history. Spine. 2012;37(5):309-314. https://doi.org/10.1097/BRS.0b013e318241ad33
Boody BS, Lendner M, Vaccaro AR. Ossification of the posterior longitudinal ligament in the cervical spine: a review. International Orthopaedics. 2019;43(4):797-805. https://doi.org/10.1007/s00264-018-4106-5
Ikegawa S. Genetics of ossification of the posterior longitudinal ligament of the spine: a mini review. Journal of Bone Metabolism. 2014;21(2):127-132. https://doi.org/10.11005/jbm.2014.21.2.127
Kalb S, Martirosyan NL, Perez-Orribo L, Kalani MY, Theodore N. Analysis of demographics, risk factors, clinical presentation, and surgical treatment modalities for the ossified posterior longitudinal ligament. Neurosurgery Focus. 2011;30(3):11. https://doi.org/10.3171/2010.12.FOCUS10265
Li H, Jiang LS, Dai LY. Hormones and growth factors in the pathogenesis of spinal ligament ossification. European Spine Journal. 2007;16(8):1075-1084. https://doi.org/10.1007/s00586-007-0356-4
Matsunaga S, Sakou T. Ossification of the posterior longitudinal ligament of the cervical spine: etiology and natural history. Spine. 2012;37(5):309-314. https://doi.org/10.1097/BRS.0b013e318241ad33
Hirabayashi K, Satomi K. Operative procedure and results of expansive open-door laminoplasty. Spine. 1988;13(7):870-876. https://doi.org/10.1097/00007632-198807000-00032
Dreval MD, Gushcha AO. Khirurgicheskoye lecheniye sheynoy spondilogennoy miyelopatii metodom laminoplastiki: obzor literatury. Hirurgiâ pozvonočnika. 2015;12(2):44-50. (In Russ.). https://doi.org/10.14531/ss2015.2.44-50
Gushcha AO, Dreval’ MD, Kireeva NS, Korepina OS. Treatment of spondylogenic cervical myelopathy. Annals of Clinical and Experimental Neurology. 2015;9(3):34-41. (In Russ.). https://doi.org/10.17816/psaic139
Veeravagu A, Azad TD, Zhang M, Li A, Pendharkar AV, Ratliff JK, Shuer LM. Outcomes of cervical laminoplasty-Population-level analysis of a national longitudinal database. Journal of Clinical Neuroscience. 2018;48:66-70. https://doi.org/10.1016/j.jocn.2017.10.089
Liu G, Buchowski JM, Bunmaprasert T, Yeom JS, Shen H, Riew KD. Revision surgery following cervical laminoplasty: etiology and treatment strategies. Spine. 2009;34(25):2760-2768. https://doi.org/10.1097/BRS.0b013e3181b11ee1
Qin R, Chen X, Zhou P, Li M, Hao J, Zhang F. Anterior cervical corpectomy and fusion versus posterior laminoplasty for the treatment of oppressive myelopathy owing to cervical ossification of posterior longitudinal ligament: a meta-analysis. European Spine Journal. 2018;27(6):1375-1387. https://doi.org/10.1007/s00586-017-5451-6
Shigematsu H, Koizumi M, Matsumori H, Iwata E, Kura T, Okuda A, Ueda Y, Tanaka Y. Revision surgery after cervical laminoplasty: report of five cases and literature review. Spine Journal. 2015;15(6):7-13. https://doi.org/10.1016/j.spinee.2013.11.048
Yuan W, Zhu Y. Posterior Revision Surgery for Cervical Open-Door Laminoplasty Because of Poor Expansion of the Spinal Canal. World Neurosurgery. 2019;130:90-97. https://doi.org/10.1016/j.wneu.2019.05.240
Odate S, Shikata J, Soeda T, Yamamura S, Kawaguchi S. Surgical results and complications of anterior decompression and fusion as a revision surgery after initial posterior surgery for cervical myelopathy due to ossification of the posterior longitudinal ligament. Journal of Neurosurgery: Spine. 2017;26(4):466-473. https://doi.org/10.3171/2016.9.SPINE16430
Shimokawa N, Sato H, Matsumoto H, Takami T. Complex Revision Surgery for Cervical Deformity or Implant Failure. Neurospine. 2020;17(3):543-553. https://doi.org/10.14245/ns.2040410.205
Liu W, Hu L, Chou PH, Liu M, Kan W, Wang J. Comparison of anterior decompression and fusion versus laminoplasty in the treatment of multilevel cervical ossification of the posterior longitudinal ligament: a systematic review and meta-analysis. Therapeutics and Clinical Risk Management. 2016;12:675-685. https://doi.org/10.2147/TCRM.S100046
Cho SK, Kim JS, Overley SC, Merrill RK. Cervical Laminoplasty: Indications, Surgical Considerations, and Clinical Outcomes. Journal of the American Academy of Orthopaedic Surgeons. 2018;26(7):142-152. https://doi.org/10.5435/JAAOS-D-16-00242
Kerimbayev TT, Doskaliyev AZh, Ashirov NN, Pazylbekov TT, Kissamedenov NG, Seitbekov SB. Laminoplastika: iskhody lecheniya pri degenerativnoy sheynoy miyelopatii. Neyrokhirurgiya i nevrologiya Kazakhstana. 2018;2(51):9-19. (In Russ.).
Byvaltsev VA, Kalinin AA, Aliev MA, Aglakov BM, Yusupov BR, Shepelev VV. Clinical efficacy of laminoplasty in treatment of patients with multilevel degenerative diseases of the cervical spine. Practical Medicine. 2018;16(9):82-86. (In Russ.).
Dreval’ MD, Arestov SO, Petrosyan DV, Kasheev AA, Vershinin AV, Poltorako EN, Guscha AO. Laminoplasty and corporectomy in the treatment of cervical spondylotic myelopathy. Annals of Clinical and Experimental Neurology. 2017;11(4):36-44. (In Russ.). https://doi.org/10.18454/ACEN.2017.4.4
Sufianov AA, Nabiev DN, Kalinin IV, Sufianov RA, Shapkin AG, Zaytsev MK, Cherkasov AV, Sagdiev RH. Bilateral’naya kostno-plasticheskaya dekompressivnaya laminoplastika s odnomomentnoy foraminotomiyey kak sposob lecheniya mnogourovnevogo stenoza pozvonochnogo kanala v sheynom otdele pozvonochnika. Hirurgiâ pozvonočnika. 2021;18(2):54-63. (In Russ.). https://doi.org/10.14531/ss2021.2.54-63
Lee CH, Sohn MJ, Lee CH, Choi CY, Han SR, Choi BW. Are There Differences in the Progression of Ossification of the Posterior Longitudinal Ligament Following Laminoplasty Versus Fusion?: A Meta-Analysis. Spine. 2017;42(12):887-894. https://doi.org/10.1097/BRS.0000000000001933
Vaziri S, Lockney DT, Dru AB, Polifka AJ, Fox WC, Hoh DJ. Does Ossification of the Posterior Longitudinal Ligament Progress After Fusion? Neurospine. 2019;16(3):483-491. https://doi.org/10.14245/ns.1938286.143

Close metadata