ArticleOrthopaedic surgery2025
Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long-Term Follow-Up.
Article in Orthopaedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- The number of fusion levels as a potential factor influencing long-term complications of anterior controllable antedisplacement fusion: a biomechanical analysis.Frontiers in surgery · 2026Article
- Anterior cervical V-Slot decompression and fusion for long-segment cervical ossification of the posterior longitudinal ligament: a follow-up study.Neurosurgical review · 2025Article
- Bone Cement Augmentation for Cervical Vertebrae-Ossification of the Posterior Longitudinal Ligament Complex Contributes to Anterior Controllable Antedisplacement and Fusion in Patients With Osteoporosis.Orthopaedic surgery · 2025Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundAnterior controllable antedisplacement and fusion (ACAF) is an emerging surgical approach for treating cervical ossification of the posterior longitudinal ligament (C-OPLL), yet there is limited data on its long-term efficacy and safety. The present study aimed to analyze the short- and long-term postoperative clinical and radiological outcomes and perioperative complications of ACAF for patients with C-OPLL.
methodsThis was a single-center, retrospective, cohort study, with the mean duration of follow-up of at least 24 months. A total of 111 patients with C-OPLL in our institution from June 2017 to June 2019 were assessed preoperatively and at 3 days, 3, 6, 12, and 24 months postoperatively. The primary outcome was the recovery of neurological function, measured with the Japanese Orthopedic Association (JOA) score. The secondary outcomes included pain, Cobb angle, spinal canal invasion rate, and surgery-related complications.
resultsThe postoperative JOA score at each follow-up was significantly better than the preoperative JOA score, regardless of preoperative spinal canal invasion rate, K-line, and segment length. The visual analog scale (VAS) score also decreased dramatically 3 days after surgery and was maintained at a low level throughout the follow-up period. Improvements in Cobb angle and invasion rate were observed right after the operation and were maintained for 2 years thereafter.
conclusionsACAF could achieve satisfactory recovery of neurological function in C-OPLL patients during a follow-up of 24 months, regardless of preoperative spinal canal invasion rate, preoperative K-line, or surgical segment length.
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