Spinal stenosis is an age-associated disease and can sometimes involve more than one spinal segment, a situation which is termed as tandem spinal stenosis (TSS) [1, 2]. Occasionally, symptomatic cervico-lumbar and cervico-thoracic TSS were reported in previous publications, within which the results of different surgical approaches were described [1, 3–6]. Generally, cervico-lumbar TSS is related to the spondylotic proliferation and disc herniation, while cervico-thoracic TSS is more likely to result from ectopic ossification and bulking of ligaments inside the spinal canal, namely ossification of posterior longitudinal ligament (OPLL) and ligamentum flavum (OLF) [4, 5]. Similar to cervico-lumbar TSS, two surgical strategies are available for the cervico-thoracic TSS, which are one-staged and two-staged decompressions. One-staged combined decompression seems more attractive due to the potential benefits of single hospitalization and single anesthetic procedure. Chen et al.  did the pioneering research for one-staged surgery in 15 patients with cervico-thoracic TSS, and regarded it as an aggressive surgical strategy. They have emphasized on the preoperative communication with patients on the impact of perioperative complications and postoperative consequences on its outcome. The surgical maneuvers and/or approaches were diverse in the study by Chen et al., for example, both anterior and posterior approaches for cervical spine were used. In this study, we report the clinical outcomes of one-staged combined decompression via a single posterior incision, which could be regarded as an attempt to simplify the procedure.
Esta web utiliza cookies para que podamos ofrecerte la mejor experiencia de usuario posible. La información de las cookies se almacena en tu navegador y realiza funciones tales como reconocerte cuando vuelves a nuestra web o ayudar a nuestro equipo a comprender qué secciones de la web encuentras más interesantes y útiles.