MOJ Header

Ahead of Print Issue - July 2021, Volume 15, Issue No. 2

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Thoracic Spine Stenosis: Does Ultrasonic Osteotome Improve Outcome in Comparison to Conventional Technique?


  1. Yamazaki M, Mochizuki M, Ikeda Y, Sodeyama T, Okawa A, Koda M, et al. Clinical results of surgery for thoracic myelopathy caused by ossification of the posterior longitudinal ligament: operative indication of posterior decompression with instrumented fusion. Spine (Phila Pa 1976). 2006; 31(13): 1452-60. doi: 10.1097/01.brs.0000220834.22131.fb
  2. Young WF, Baron E. Acute neurologic deterioration after surgical treatment for thoracic spinal stenosis. J Clin Neurosci. 2001; 8(2): 129-32. doi: 10.1054/jocn.1998.0785
  3. Takahata M, Ito M, Abumi K, Kotani Y, Sudo H, Minami A. Clinical results and complications of circumferential spinal cord decompression through a single posterior approach for thoracic myelopathy caused by ossification of posterior longitudinal ligament. Spine (Phila Pa 1976). 2008; 33(11): 1199-208
  4. Kerawala CJ, Martin IC, Allan W, Williams ED. The effects of operator technique and bur design on temperature during osseous preparation for osteosynthesis self-tapping screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999; 88(2): 145-50. doi: 10.1016/s1079-2104(99)70108-3
  5. Hosono N, Miwa T, Mukai Y, Takenaka S, Makino T, Fuji T. Potential risk of thermal damage to cervical nerve roots by a highspeed drill. J Bone Joint Surg Br. 2009; 91(11): 1541-4. doi: 10.1302/0301-620X.91B11.22196
  6. Hara M, Takayasu M, Takagi T, Yoshida J. En bloc laminoplasty performed with threadwire saw. Neurosurgery. 2001; 48(1): 235-9. doi: 10.1097/00006123-200101000-00050
  7. Schaller BJ, Gruber R, Merten HA, Kruschat T, Schliephake H, Buchfelder M, Ludwig HC. Piezoelectric bone surgery: a revolutionary technique for minimally invasive surgery in cranial base and spinal surgery? Technical note. Neurosurgery. 2005; 57(4 suppl): E410. doi: 10.1227/01.neu.0000176700.77461.c9
  8. Sanborn MR, Balzer J, Gerszten PC, Karausky P, Cheng BC, Welch WC. Safety and efficacy of a novel ultrasonic osteotome device in an ovine model. J Clin Neurosci. 2011; 18(11): 1528-33. doi: 10.1016/j.jocn.2011.04.016
  9. Yonenobu K, Ebara S, Fujiwara K, Yamashita K, Ono K, Yamamoto T, et al. Thoracic myelopathy secondary to ossification of the spinal ligament. J Neurosurg. 1987; 66(4): 511-8. doi:10.3171/jns.1987.66.4.0511
  10. Aizawa T, Sato T, Sasaki H, Matsumoto F, Morozumi N, Kusakabe T, et al. Results of surgical treatment for thoracic myelopathy: minimum 2-year follow-up study in 132 patients. J Neurosurg Spine. 2007; 7(1): 13-20. doi: 10.3171/SPI-07/07/013
  11. Takeuchi A, Miyamoto K, Hosoe H, Shimizu K. Thoracic paraplegia due to missed thoracic compressive lesions after lumbar spinal decompression surgery. Report of three cases. J Neurosurg. 2004; 100(1 Suppl Spine): 71-4. doi: 10.3171/spi.2004.100.1.0071
  12. Kuh SU, Kim YS, Cho YE, Jin BH, Kim KS, Yoon YS, et al. Contributing factors affecting the prognosis surgical outcome for thoracic OLF. Eur Spine J. 2006; 15(4): 485-91. doi: 10.1007/s00586-005-0903-9
  13. He S, Hussain N, Li S, Hou T. Clinical and prognostic analysis of ossified ligamentum flavum in a Chinese population. J Neurosurg Spine. 2005; 3(5): 348-54. doi: 10.3171/spi.2005.3.5.0348
  14. Fujimura Y, Nishi Y, Nakamura M, Toyama Y, Suzuki N. Long-term follow-up study of anterior decompression and fusion for thoracic myelopathy resulting from ossification of the posterior longitudinal ligament. Spine (Phila Pa 1976). 1997; 22(3): 305-11. doi: 10.1097/00007632-199702010-00015
  15. Lee KS, Shim JJ, Doh JW, Yoon SM, Bae HG, Yun IG. Transient paraparesis after laminectomy in a patient with multi-level ossification of the spinal ligament. J Korean Med Sci. 2004; 19(4): 624-6. doi: 10.3346/jkms.2004.19.4.624
  16. He B, Yan L, Xu Z, Guo H, Liu T, Hao D. Treatment strategies for the surgical complications of thoracic spinal stenosis: a retrospective analysis of 283 cases. Int Orthop. 2014; 38(1): 117-22. doi: 10.1007/s00264-013-2103-2
  17. Chen H, Yoshioka H, Kim GS, Jung JE, Okami N, Sakata H, et al. Oxidative stress in ischemic brain damage: mechanisms of cell death and potential molecular targets for neuroprotection. Antioxid Redox Signal. 2011; 14(8): 1505-17. doi: 10.1089/ars.2010.3576
  18. Hasegawa K, Homma T, Chiba Y. Upper extremity palsy following cervical decompression surgery results from a transient spinal cord lesion. Spine (Phila Pa 1976). 2007; 32(6): E197-202. doi: 10.1097/01.brs.0000257576.84646.49
  19. Lazorthes G, Gouaze A, Zadeh JO, Santini JJ, Lazorthes Y, Burdin P. Arterial vascularization of the spinal cord: recent studies of the anastomotic substitution pathways. J Neurosurg. 1971; 35(3): 253-62. doi: 10.3171/jns.1971.35.3.0253
  20. Eggspuehler A, Sutter MA, Grob D, Porchet F, Jeszenszky D, Dvorak J. Multimodal intraoperative monitoring (MIOM) during surgical decompression of thoracic spinal stenosis in 36 patients. Eur Spine J. 2007; 16(Suppl 2): 216-20. doi: 10.1007/s00586-007-0425-8
  21. Grauvogel J, Grauvogel TD, Kaminsky J. Piezosurgical lateral suboccipital craniectomy and opening of the internal auditory canal in the rat. J Neurosurg Sci. 2014; 58(1): 17-22.
  22. Hu X, Ohnmeiss DD, Lieberman IH. Use of an ultrasonic osteotome device in spine surgery: experience from the first 128 patients. Eur Spine J. 2013; 22(12): 2845-9. doi: 10.1007/s00586-013-2780-y
  23. Dave BR, Degulmadi D, Dahibhate S, Krishnan A, Patel D. Ultrasonic bone scalpel: utility in cervical corpectomy. A technical note. Eur Spine J. 2019; 28(2): 380-5. doi: 10.1007/s00586-018-5536-x

Abstract   |   Reference

MOJ footer

About Us

The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

Keep in Touch

creative-commons License