Neurological deterioration induced by sitting in patients after cervicothoracic posterior decompression with instrumented fusion surgery for ossification of the longitudinal ligament: two cases reports

BACKGROUND: We report on Japanese patients who showed neurological deterioration induced by sitting after cervicothoracic posterior decompression with instrumented fusion, but showed immediate neurological recovery after bed rest. CASE PRESENTATION: Patients showed incomplete paraparesis caused by t...

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Autores principales: Koda, Masao, Mannoji, Chikato, Inada, Taigo, Kamiya, Koshiro, Ota, Mitsutoshi, Maki, Satoshi, Takahashi, Kazuhisa, Yamazaki, Masashi, Aramomi, Masaaki, Ikeda, Osamu, Furuya, Takeo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4429491/
https://www.ncbi.nlm.nih.gov/pubmed/25889183
http://dx.doi.org/10.1186/s13104-015-1106-z
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author Koda, Masao
Mannoji, Chikato
Inada, Taigo
Kamiya, Koshiro
Ota, Mitsutoshi
Maki, Satoshi
Takahashi, Kazuhisa
Yamazaki, Masashi
Aramomi, Masaaki
Ikeda, Osamu
Furuya, Takeo
author_facet Koda, Masao
Mannoji, Chikato
Inada, Taigo
Kamiya, Koshiro
Ota, Mitsutoshi
Maki, Satoshi
Takahashi, Kazuhisa
Yamazaki, Masashi
Aramomi, Masaaki
Ikeda, Osamu
Furuya, Takeo
author_sort Koda, Masao
collection PubMed
description BACKGROUND: We report on Japanese patients who showed neurological deterioration induced by sitting after cervicothoracic posterior decompression with instrumented fusion, but showed immediate neurological recovery after bed rest. CASE PRESENTATION: Patients showed incomplete paraparesis caused by the ossification of the posterior longitudinal ligament at uppermost thoracic spine. Cervicothoracic posterior decompression with instrumented fusion was performed. Postoperatively, the patients showed partial paraparesis when they were sitting. They showed rapid recovery from lower extremity paralysis upon lying down. After strict bed rest for one month, those patients showed no apparent development of paralysis during sitting. CONCLUSION: In patients with postoperative residual anterior spinal cord compression, micromotion might exacerbate neurological symptoms.
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spelling pubmed-44294912015-05-14 Neurological deterioration induced by sitting in patients after cervicothoracic posterior decompression with instrumented fusion surgery for ossification of the longitudinal ligament: two cases reports Koda, Masao Mannoji, Chikato Inada, Taigo Kamiya, Koshiro Ota, Mitsutoshi Maki, Satoshi Takahashi, Kazuhisa Yamazaki, Masashi Aramomi, Masaaki Ikeda, Osamu Furuya, Takeo BMC Res Notes Case Report BACKGROUND: We report on Japanese patients who showed neurological deterioration induced by sitting after cervicothoracic posterior decompression with instrumented fusion, but showed immediate neurological recovery after bed rest. CASE PRESENTATION: Patients showed incomplete paraparesis caused by the ossification of the posterior longitudinal ligament at uppermost thoracic spine. Cervicothoracic posterior decompression with instrumented fusion was performed. Postoperatively, the patients showed partial paraparesis when they were sitting. They showed rapid recovery from lower extremity paralysis upon lying down. After strict bed rest for one month, those patients showed no apparent development of paralysis during sitting. CONCLUSION: In patients with postoperative residual anterior spinal cord compression, micromotion might exacerbate neurological symptoms. BioMed Central 2015-04-09 /pmc/articles/PMC4429491/ /pubmed/25889183 http://dx.doi.org/10.1186/s13104-015-1106-z Text en © Koda et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Koda, Masao
Mannoji, Chikato
Inada, Taigo
Kamiya, Koshiro
Ota, Mitsutoshi
Maki, Satoshi
Takahashi, Kazuhisa
Yamazaki, Masashi
Aramomi, Masaaki
Ikeda, Osamu
Furuya, Takeo
Neurological deterioration induced by sitting in patients after cervicothoracic posterior decompression with instrumented fusion surgery for ossification of the longitudinal ligament: two cases reports
title Neurological deterioration induced by sitting in patients after cervicothoracic posterior decompression with instrumented fusion surgery for ossification of the longitudinal ligament: two cases reports
title_full Neurological deterioration induced by sitting in patients after cervicothoracic posterior decompression with instrumented fusion surgery for ossification of the longitudinal ligament: two cases reports
title_fullStr Neurological deterioration induced by sitting in patients after cervicothoracic posterior decompression with instrumented fusion surgery for ossification of the longitudinal ligament: two cases reports
title_full_unstemmed Neurological deterioration induced by sitting in patients after cervicothoracic posterior decompression with instrumented fusion surgery for ossification of the longitudinal ligament: two cases reports
title_short Neurological deterioration induced by sitting in patients after cervicothoracic posterior decompression with instrumented fusion surgery for ossification of the longitudinal ligament: two cases reports
title_sort neurological deterioration induced by sitting in patients after cervicothoracic posterior decompression with instrumented fusion surgery for ossification of the longitudinal ligament: two cases reports
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4429491/
https://www.ncbi.nlm.nih.gov/pubmed/25889183
http://dx.doi.org/10.1186/s13104-015-1106-z
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