Posterior Reconstruction

Author(s):  
James E. Tibone
2007 ◽  
Vol 51 (4) ◽  
pp. 996-1003 ◽  
Author(s):  
Bernardo Rocco ◽  
Andrea Gregori ◽  
Silvio Stener ◽  
Luigi Santoro ◽  
Andrea Bozzola ◽  
...  

Spine ◽  
1997 ◽  
Vol 22 (3) ◽  
pp. 274-282 ◽  
Author(s):  
Michael L. Swank ◽  
Chester E. Sutterlin ◽  
Constance R. Bossons ◽  
Bill E. Dials

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Michio Hongo ◽  
Naohisa Miyakoshi ◽  
Masashi Fujii ◽  
Yuji Kasukawa ◽  
Yoshinori Ishikawa ◽  
...  

Symptomatic ossification of the anterior longitudinal ligament (OALL) is rare. However, when the osteophyte enlarges and obstructive symptoms occur, the patient may require surgery. We present a case of pyogenic spondylitis caused by methicillin-resistant Staphylococcus aureus associated with tracheostomy followed by resection of OALL. A 69-year-old woman with OALL complained of dysphagia and suffocation, which was caused by prominent OALL at C4-5. Tracheostomy was performed, followed by osteophytectomy 6 weeks later. Two months after osteophytectomy, she complained of muscle weakness of the extremities, neck pain, and elevated temperature. Magnetic resonance imaging showed an intensity change at the C4-5 vertebrae and an epidural abscess that was causing cord compression requiring urgent decompression. Cultures identified methicillin-resistant Staphylococcus aureus. As osteolytic change and muscle weakness gradually progressed, she underwent anterior and posterior reconstruction with an autograft and instrumentation. Bone union was confirmed at 1 year postoperatively with improvement in neurological status. OALL has potentially the risk of airway obstruction. Therefore, appropriate diagnosis and prompt osteophytectomy are needed in cases of a large prominent ossification that puts the patient at risk of suffocation. However, it is noted that osteophytectomy following urgent tracheostomy carries the possible risk of infection.


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