{
  "abstract": "Background: Ligamentous ossification diseases like OPLL and OLF can cause severe neurological compromise. While whole-spine CT identifies ossified segments and MRI reveals cord compression/signal changes, treatment guidelines—especially for multi-level involvement—remain undefined, particularly with advancing anterior surgical techniques.\n\nMethods: In this retrospective study of 168 patients with ≥ 2-year follow-up, we classified cases into: Cervicothoracic (CT), Cervicolumbar (CL), Thoracolumbar (TL), and Cervicothoracolumbar (CTL) types. Diagnosis required CT-confirmed ossification plus cord compression/T2 signal change (cervical/thoracic) or OLF with Schizas grade ≥ C lumbar stenosis. Surgical prioritization emphasized clinical symptoms over signs, myelopathy over radiculopathy, and proximal over distal compression.\n\nResults: Type-specific strategies included anterior/posterior decompression (ACAF/TACAF for CT-type), selective approaches (CL-type), and level-specific decompression (TL/CTL-types). All subtypes showed significant improvement in JOA (e.g., CT-subtype: 10.54 ± 2.19 to 15.15 ± 0.78), Nurick (e.g., 3.52 ± 1.24 to 1.48 ± 0.96), and ODI scores (e.g., 31.75 ± 8.50 to 16.50 ± 1.29).\n\nConclusion: This strategy integrates clinical presentation with imaging criteria to guide level-specific surgical planning. Beyond radiological findings, symptomatology critically informs decision-making, enabling tailored decompression with validated functional outcomes across all ligamentous ossification subtypes.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopedic Surgery, Spine Center, Changzheng Hospital, Naval Medical University, Shanghai, P. R. China, No. 415 Fengyang Road, Shanghai, 200003 People’s Republic of China",
    "Department of Orthopedics, Taihe Hospital, Hubei University of Medicine, Shiyan, China"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Shunmin Wang"
    },
    {
      "affs": [
        1
      ],
      "name": "Yong Huang"
    },
    {
      "affs": [
        0
      ],
      "name": "Tiefeng Li"
    },
    {
      "affs": [
        0
      ],
      "name": "Jingchuan Sun"
    },
    {
      "affs": [
        0
      ],
      "name": "Jiangang Shi"
    },
    {
      "affs": [
        0
      ],
      "name": "Yu Chen"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2pdmrybfepseh.bib",
  "cited_by": 0,
  "doi": "10.1186/s12893-026-03994-x",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13733135/",
  "id": "2pdmrybfepseh",
  "issns": [
    "1471-2482"
  ],
  "landing_url": "https://doi.org/10.1186/s12893-026-03994-x",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "lcc",
      "RD1-811"
    ],
    [
      "openalex",
      "2746|Cervical and Thoracic Myelopathy"
    ]
  ],
  "openalex": "W7201831114",
  "pdf_url": null,
  "pmcid": "PMC13733135",
  "pmid": "42983370",
  "published": "2026-08-01",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/2pdmrybfepseh.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:22:59Z",
      "native_id": "PMC13733135",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s12893-026-03994-x"
    },
    {
      "first_seen": "2026-11-08T14:20:53Z",
      "native_id": "042b0c426d39470eac6ee389c94f66b7",
      "source": "doaj",
      "url": "https://doi.org/10.1186/s12893-026-03994-x"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Cervical and Thoracic Myelopathy",
      "subfield": "surgery"
    }
  ],
  "title": "Development of a treatment classification system and treatment strategy for ligamentous ossification disease-traditional and innovative surgical strategies",
  "title_text": "Development of a treatment classification system and treatment strategy for ligamentous ossification disease-traditional and innovative surgical strategies",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T14:20:53Z",
  "url": "https://research.draconitic.com/paper/2pdmrybfepseh",
  "venue": "BMC Surgery",
  "versions": []
}