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学科主题临床医学
Progress on Clinical Characteristics and Identification of Location of Thoracic Ossification of the Ligamentum Flavum
Feng, Fa-bo1,2; Sun, Chui-guo1; Chen, Zhong-qiang1
关键词Clinical features Identification of location Thoracic ossification of ligamentum flavum
刊名ORTHOPAEDIC SURGERY
2015-05-01
DOI10.1111/os.12165
7期:2页:87-96
收录类别SCI
文章类型Review
WOS标题词Science & Technology
类目[WOS]Orthopedics
研究领域[WOS]Orthopedics
关键词[WOS]MOTOR-EVOKED-POTENTIALS ; SPINAL-CORD-INJURY ; MYELOPATHY SECONDARY ; SURGICAL EXPERIENCE ; MIYAGI PREFECTURE ; POPULATION ; MUSCLES ; ACTIVATION ; FEATURES ; JAPANESE
英文摘要

Thoracic ossification of the ligamentum flavum (TOLF) is the most common cause for thoracic spinal stenosis. TOLF is usually complicated by thoracic disc herniation, ossification of the posterior longitudinal ligament and degenerative spinal diseases such as cervical spondylosis and lumbar spinal stenosis, and the ossification also usually has a discontinuous or continuous multi-segment distribution. The resultant superposition of several symptoms makes the clinical manifestations complex. Currently, the diagnosis of TOLF depends mainly on the patient′s symptoms, physical examination and thoracic CT and MRI examinations. Identification of the location of TOLF depends more on the doctor′s subjective judgement. Diagnostic problems are related to the specific region and level of surgical decompression: if the extent of decompression is insufficient, the treatment is inadequate, resulting in residual symptoms. Obversely, unnecessary trauma and a various complications will occur if the decompression is too extensive. Hence, the clinical features and process of diagnosis, especially the means of identifying the location, still require further improvement. It is necessary to establish a simple and accurate means of identifying the segment of TOLF that is responsible for the neurologic deficit: a number of spinal surgeons have been working hard on this. This article will provided an overview of the clinical features of TOLF and the related problems of clinical identification of the location of the segment causing the neurological deficit. The relationship between the imaging manifestations and clinical characteristics still need to be explored with the aim of establishing a simple and precise method for determining precisely whether TOLF is related to spinal cord injury or not, thus reducing surgical trauma and achieving an optimal prognosis.

语种英语
WOS记录号WOS:000362089500001
引用统计
被引频次:14[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58280
专题北京大学第三临床医学院_骨科
作者单位1.Peking Univ Third Hosp, Dept Orthopaed, Beijing 100191, Peoples R China
2.Zhejiang Prov Peoples Hosp, Dept Orthopaed, Hangzhou, Zhejiang, Peoples R China
推荐引用方式
GB/T 7714
Feng, Fa-bo,Sun, Chui-guo,Chen, Zhong-qiang. Progress on Clinical Characteristics and Identification of Location of Thoracic Ossification of the Ligamentum Flavum[J]. ORTHOPAEDIC SURGERY,2015,7(2):87-96.
APA Feng, Fa-bo,Sun, Chui-guo,&Chen, Zhong-qiang.(2015).Progress on Clinical Characteristics and Identification of Location of Thoracic Ossification of the Ligamentum Flavum.ORTHOPAEDIC SURGERY,7(2),87-96.
MLA Feng, Fa-bo,et al."Progress on Clinical Characteristics and Identification of Location of Thoracic Ossification of the Ligamentum Flavum".ORTHOPAEDIC SURGERY 7.2(2015):87-96.
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