Journals / Journal of Turkish Spinal Surgery / 2008 / Cilt: 19 - Sayı: 4

Ligamentum flavum ossifikasyonuna bağlı spinal stenoz : Olgu sunumu

Ossification of ligamentum flavum causing spinal stenosis: A case report

Pages
447–452
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The postoperative course was uneventful and signs, symptoms, and functional status markedly improved after decompressive surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Ossification of the ligamentum flavum is a rare entity observed exclusively in Japanese people.
📊
Key Findings & Data:We report a new case in a 46-year old man with ossification of the ligamentum flavum that was located at the thoracic (Th) 2 vertebra level with cervical disc herniation at the cervical (C) level 5-6.
💡
Conclusion & Impact:The postoperative course was uneventful and signs, symptoms, and functional status markedly improved after decompressive surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Erkek · Orta yaşlı · Kemikleşme

Abstract

Ossification of the ligamentum flavum is a rare entity observed exclusively in Japanese people. We report a new case in a 46-year old man with ossification of the ligamentum flavum that was located at the thoracic (Th) 2 vertebra level with cervical disc herniation at the cervical (C) level 5-6. The patient showed myelopathy symptoms due to the compression on the spinal cord. A decompressive Th 2 laminectomy was performed. The cause of the compression was found to be an ossified ligamentum flavum, which was confirmed by histopathological examination. The postoperative course was uneventful and signs, symptoms, and functional status markedly improved after decompressive surgery.

Özet

Ligamentum flavum ossifikasyonu çoğunlukla Japonlarda görülen nadir bir antitedir. Bu çalışmada, 46 yaşında erkek hastada torakal (Th) 2. vertebra seviyesinde bulunan ligamentum flavum ossifikasyonu ve buna eşlik eden servikal 5-6 disk hernisi bulunan bir olgu sunulmaktadır. Spinal kord basısına bağlı myelopatik semptomlarla başvuran hastaya Th 2 laminektomi uygulanmıştır. Ligamentum flavum ossifikasyonunun spinal kord basısına neden olduğu intraoperatif görülüp; yapılan örnekleme ile de tanı histopatolojik olarak desteklenmiştir. Sorunsuz bir ameliyat geçiren hastanın şikayet ve bulgularının dekompresif laminektomi sonrası belirgin şekilde gerilediği görülmüştür.

🔖

Cite This Article

YENER, U., ÖZGEN, S., GERÇEK, A., KONYA, D. (2008). Ligamentum flavum ossifikasyonuna bağlı spinal stenoz : Olgu sunumu. Journal of Turkish Spinal Surgery, Cilt: 19 - Sayı: 4, 447–452. https://ajindex.com/articles/271550

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Enomoto H, Kuwayama N, Katsumata T, Doi T. Ossification of the ligamentum flavum. A case report and its MRI finding. Neuroradiology 1988; 30 (6): 571-3
  2. Hanakita J, Suwa H, Ohta F, Nish› S, Sakaida H, Lihara K. Neuroradiological examination of thoracic radiculomyelopathy due to ossification of the ligamentum flavum. Neuroradiology 1990; 32 (1): 38-42
  3. Hasue M, Kikuchi S, Fujiwara M. Roentgenographic anaylsis of ossification of the spinal ligament with special reference to the finding of the whole spine. Seikei Geka 1980; 30: 1179-1186
  4. Hattori A, Endoh H, Suzuki K, Kaneda M. Ossification of thoracic ligamentum flavum with compression of spinal cord. J Jpn Orthop Assoc 1976; 50: 1141-1146
  5. Hoshi K, Amizuka N, Sakou T, Kurokawa T, Ozawa H. Fibroblasts of spinal ligaments pathologically differentiate into chondrocytes induced by recombinant human bone morphogenetic protein-2: morphological examinations for ossification of spinal ligaments. Bone 1997; 21 (2): 155-162
  6. Kobayashi S, Okada K, Onoda K, Horikoshi S. Ossification of the cervical ligamentum flavum. Surg Neurol 1991; 35 (3): 234-238
  7. Kojima T, Oonishi I, Kurokawa T. Ossification of the ligamentum flavum in the thoracolumbar spine of young adults report of two cases. Int Orthop 1992; 16 (1): 75-79
  8. Kubota M, Baba I, Sumida T. Myelopathy due to ossification of the ligamentum flavum of the cervical spine. A report of two cases. Spine 1981; 6 (6): 553-559
  9. Kubota T, Kawano H, Yamashima T, Ikeda K, Hayashi M, Yamamoto S. Ultrastructural study of calcification process in the ligamentum flavum of the cervical spine. Spine 1987; 12 (4): 317-323. 10.Kudo S, Ono M, Russell WJ. Ossification of thoracic ligamenta flava. AJR Am J Roentgenol 1983; 141 (1): 117-121. 11.Miyasaka K, Kaneda K, Sato S, Iwasaki Y, Abe S, Takei H, Tsuru M, Tashiro K, Abe H, Fujioka Y. Myelopathy due to ossification or calcification of the ligamentum flavum: radiologic and histologic evaluations. AJNR Am J Neuroradiol 1983; 4 (3): 629-632. 12.Okada K, Oka S, Tohge K, Ono K, Yonenobu, Hosoya T. Thoracic myelopathy caused by ossification of the ligamentum flavum. Clinicopathologic study and surgical treatment. Spine 1991; 16 (3): 280-287. 13.Omojola MF, Cardoso ER, Fox AJ, Drake CG, Durward QJ. Thoracic myelopathy secondary to ossified ligamentum flavum. J Neurosurg 1982; 56 (3): 448-450. 14.Polgar F. Uber interakuelle wirbelkalkung. Fortschr Geb Rontgenstr Nuklearmed 1920; 40: 292-298. 15.Resnick D. Calcification