Laminoplasty and In‐Site Regrafting for the Treatment of Thoracic Ossification of the Ligamentum Flavum: A Surgical Technique
ABSTRACT Objective Current surgical strategies for thoracic ossification of the ligamentum flavum (TOLF) are denounced by thoracic kyphosis, loss of spinal motion range, etc. A new surgical technique, laminoplasty and in‐site regrafting (LPIR), was modified to address the problems. This study aimed...
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| Format: | Article |
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Wiley
2025-01-01
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| Series: | Orthopaedic Surgery |
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| Online Access: | https://doi.org/10.1111/os.14273 |
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| author | Hu Qian Xiuqian Wang Ting Lei Jun Ao Jianpu Qin |
| author_facet | Hu Qian Xiuqian Wang Ting Lei Jun Ao Jianpu Qin |
| author_sort | Hu Qian |
| collection | DOAJ |
| description | ABSTRACT Objective Current surgical strategies for thoracic ossification of the ligamentum flavum (TOLF) are denounced by thoracic kyphosis, loss of spinal motion range, etc. A new surgical technique, laminoplasty and in‐site regrafting (LPIR), was modified to address the problems. This study aimed to report the safety and feasibility of LPIR for TOLF treatment. Methods This retrospective study reported the outcome of eight consecutive patients (3 males and 5 females, mean age 52.87 years) with TOLF who underwent LPIR surgery from January 2019 to March 2024. Pre‐ and post‐operative data including x‐ray, computerized tomography (CT), magnetic resonance imaging (MRI), the modified Japanese Orthopedic Association score (mJOA), the visual analog scale (VAS), and complications were collected to evaluate the outcome. Results All surgeries were performed successfully, significantly alleviating symptoms postoperatively. During an average follow‐up period of 28.63 months, the VAS score reduced from 4.50 ± 1.00 pre‐operatively to 1.63 ± 0.48 on the third post‐operative day and further reduced to 0.50 ± 0.70 during the last follow‐up. The mJOA score increased from 3.63 ± 0.70 pre‐operatively to 6.13 ± 0.78 on the third postoperative day and further increased to 8.88 ± 1.27 during the last follow‐up. No severe complications were observed. Conclusions LPIR exhibited significant safety and feasibility for treating TOLF, offering a novel strategy for managing this problem. |
| format | Article |
| id | doaj-art-5a678ab36c504dc6b9dc0fbf267966fc |
| institution | Kabale University |
| issn | 1757-7853 1757-7861 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj-art-5a678ab36c504dc6b9dc0fbf267966fc2025-01-16T05:31:16ZengWileyOrthopaedic Surgery1757-78531757-78612025-01-0117126927710.1111/os.14273Laminoplasty and In‐Site Regrafting for the Treatment of Thoracic Ossification of the Ligamentum Flavum: A Surgical TechniqueHu Qian0Xiuqian Wang1Ting Lei2Jun Ao3Jianpu Qin4Department of Orthopaedic Surgery Affiliated Hospital of Zunyi Medical University Zunyi ChinaDepartment of Orthopaedic Surgery Affiliated Hospital of Zunyi Medical University Zunyi ChinaDepartment of Orthopedic Surgery, The First Affiliated Hospital, College of Medicine Zhejiang University Hangzhou ChinaDepartment of Orthopaedic Surgery Affiliated Hospital of Zunyi Medical University Zunyi ChinaDepartment of Orthopaedic Surgery Affiliated Hospital of Zunyi Medical University Zunyi ChinaABSTRACT Objective Current surgical strategies for thoracic ossification of the ligamentum flavum (TOLF) are denounced by thoracic kyphosis, loss of spinal motion range, etc. A new surgical technique, laminoplasty and in‐site regrafting (LPIR), was modified to address the problems. This study aimed to report the safety and feasibility of LPIR for TOLF treatment. Methods This retrospective study reported the outcome of eight consecutive patients (3 males and 5 females, mean age 52.87 years) with TOLF who underwent LPIR surgery from January 2019 to March 2024. Pre‐ and post‐operative data including x‐ray, computerized tomography (CT), magnetic resonance imaging (MRI), the modified Japanese Orthopedic Association score (mJOA), the visual analog scale (VAS), and complications were collected to evaluate the outcome. Results All surgeries were performed successfully, significantly alleviating symptoms postoperatively. During an average follow‐up period of 28.63 months, the VAS score reduced from 4.50 ± 1.00 pre‐operatively to 1.63 ± 0.48 on the third post‐operative day and further reduced to 0.50 ± 0.70 during the last follow‐up. The mJOA score increased from 3.63 ± 0.70 pre‐operatively to 6.13 ± 0.78 on the third postoperative day and further increased to 8.88 ± 1.27 during the last follow‐up. No severe complications were observed. Conclusions LPIR exhibited significant safety and feasibility for treating TOLF, offering a novel strategy for managing this problem.https://doi.org/10.1111/os.14273laminoplastyregraftingsurgical techniquethoracic ossification of the ligamentum flavumultrasonic osteotome |
| spellingShingle | Hu Qian Xiuqian Wang Ting Lei Jun Ao Jianpu Qin Laminoplasty and In‐Site Regrafting for the Treatment of Thoracic Ossification of the Ligamentum Flavum: A Surgical Technique Orthopaedic Surgery laminoplasty regrafting surgical technique thoracic ossification of the ligamentum flavum ultrasonic osteotome |
| title | Laminoplasty and In‐Site Regrafting for the Treatment of Thoracic Ossification of the Ligamentum Flavum: A Surgical Technique |
| title_full | Laminoplasty and In‐Site Regrafting for the Treatment of Thoracic Ossification of the Ligamentum Flavum: A Surgical Technique |
| title_fullStr | Laminoplasty and In‐Site Regrafting for the Treatment of Thoracic Ossification of the Ligamentum Flavum: A Surgical Technique |
| title_full_unstemmed | Laminoplasty and In‐Site Regrafting for the Treatment of Thoracic Ossification of the Ligamentum Flavum: A Surgical Technique |
| title_short | Laminoplasty and In‐Site Regrafting for the Treatment of Thoracic Ossification of the Ligamentum Flavum: A Surgical Technique |
| title_sort | laminoplasty and in site regrafting for the treatment of thoracic ossification of the ligamentum flavum a surgical technique |
| topic | laminoplasty regrafting surgical technique thoracic ossification of the ligamentum flavum ultrasonic osteotome |
| url | https://doi.org/10.1111/os.14273 |
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