Summary
A 30-year-old male presented complaining of a six-month history of progressive weakness
and paraesthesia in all four limbs. Symptoms occurred following moderately severe
neck trauma. Investigations revealed ossification of the ligamentum flavum (OLF) between
the atlas and axis, with marked cord compression. The patient showed remarkable neurological
recovery following excision of the OLF. OLF causing cord compression is rare and has
never been reported in the atlantoaxial region.
Keywords
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References
- Ossification of the ligamentum flavum with myelopathy.Surg Neurol. 1996; 46: 396-397
- Ossification of the cervical ligamentum flavum.Surg Neurol. 1991; 35: 234-238
- Unilateral ossification of the ligamentum flavum in the cervical spine with atypical radiological appearance.J Clin Neurosci. 2002; 9: 462-464
- Ossification and calcification of the cervical ligamentum flavum – case reports.(Article in Japanese) No To Shinkei. 1993; 45: 859-863
- Thoracic myelopathy secondary to ossified ligamentum flavum.Acta Neurochir. 2001; 143: 775-782
- Spinal cord compression caused by unusual location and extension of ossified ligamenta flava in a Caucasian male: a case report and literature review.Spine. 1999; 24: 486-488
- Cough induced by ossification of the ligamentum flavum in the high cervical spine.J Neurosurg (Spine). 2004; 100: 364-366
- Thickening and fibrosis (so-called hypertrophy) of the ligamentum flavum: a pathologic study of fifty cases.Proc Staff Meet Mayo Clin. 1944; 15: 161-166
- Roentgenographic analysis of ossification of the spinal ligament; with special reference to the finding of the whole spine.Seikeigeka. 1980; 31: 1179-1186
- Myelopathy due to ossification and calcification of the ligamentum flavum: radiologic and histologic evaluation.AJNR Am J Neuroradiol. 1983; 4: 629-632
- MRI ossification of ligamentum flavum.J Comput Assist Tomogr. 1992; 16: 73-76
- Atlantoaxial dislocation associated with stenosis of the canal at atlas.J Postgrad Med. 1997; 43: 75-77
- Hypertrophied ligamentum flavum: clinical and surgical significance.Arch Surg. 1973; 106: 289-292
- Myeloradiculopathy secondary to pseudogout in the cervical ligamentum flavum: case report.Neurosurgery. 1989; 25: 298-302
- The anatomy of ligamenta flava.Clin Orthop. 1966; 44: 129-140
- Paraplegia following post-traumatic thoracic spinal stenosis: a case report.Arch Phys Med Rehabil. 1996; 77: 84-85
- Surgical treatment for ossification of the posterior longitudinal ligament and the yellow ligament in the thoracic and cervico-thoracic spine.Spinal Cord. 1998; 36: 561-566
- Myelopathy caused by ossification of ligamentum flavum.Spine. 2002; 27: E308-E312
- Calcification of the ligamentum flavum of the cervical spine: report of four cases.J Neurosurg. 1983; 59: 531-534
- Magnetic imaging study on the results of surgery for cervical compression myelopathy.Spine. 1993; 18: 2024-2029
- Calcium pyrophosphate dihydrate crystal deposition disease in the cervical ligamentum flavum.J Neurosurg. 1988; 68: 613-620
- Cord compression secondary to cervical disc herniation associated with calcification of ligamentum flavum: case report.Neurosurgery. 2001; 48: 673-676
- Ossification of the ligamentum flavum.J Clin Neurosci. 2002; 9: 311-313
- Ossified–calcified ligamentum flavum causing dorsal cord compression with computed tomography-magnetic resonance imaging features.Surg Neurol. 1994; 41: 441-442
- Myelopathic cervical spondylotic lesions demonstrated by magnetic resonance imaging.J Neurosurg. 1988; 68: 217-222
- Magnetic resonance imaging and cervical spondylotic myelopathy.Neurosurgery. 1990; 26: 217-226
- Chronic cervical compression: clinical significance of increased signal intensity on MR images.Radiology. 1989; 173: 219-224
- Magnetic resonance imaging of the spinal cord in cervical ossification of the posterior longitudinal ligament: can it predict surgical outcome.Spine. 1998; 23: 38-40
Article info
Publication history
Accepted:
June 25,
2004
Received:
May 28,
2004
Identification
Copyright
© 2005 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.