Journals / Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi / 2016 / Cilt: 62 - Sayı: 1

Miyelopatinin eşlik etmediği torakal ligamentum flavum ossifikasyonu: Dorsal ağrılı olgu sunumu

Thoracic ossification of ligamentum flavum without myelopathy: a case report of dorsal pain

Pages
70–73
Publication Date
2022-11-06
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)

In this report, we present an unusual case of thoracic stenosis in a Caucasian patient with trunkal pain as an initial symptom and ossification of ligamentum flavum in the upper thoracic region

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Spinal stenosis of the thorax is a less recognized and less common condition than other regions.
📊
Key Findings & Data:A variety of disorders such as facet hypertrophy, anterior disc protrusion, spondylotic spurs, ossified posterior longitudinal ligament, ligamentum flavum hypertrophy or ossification may lead to stenosis.
💡
Conclusion & Impact:In this report, we present an unusual case of thoracic stenosis in a Caucasian patient with trunkal pain as an initial symptom and ossification of ligamentum flavum in the upper thoracic region
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Spinal stenosis of the thorax is a less recognized and less common condition than other regions. A variety of disorders such as facet hypertrophy, anterior disc protrusion, spondylotic spurs, ossified posterior longitudinal ligament, ligamentum flavum hypertrophy or ossification may lead to stenosis. Lower thoracic segments are most frequently involved. Ossification of ligamentum flavum, which is a major cause of thoracic stenosis in Japanese population, is uncommon in Caucasians. Numbness of the leg, followed by paraparesis, and leg pain are the most common initial symptoms, while a minority of patients have trunkal pain as an initial symptom. In this report, we present an unusual case of thoracic stenosis in a Caucasian patient with trunkal pain as an initial symptom and ossification of ligamentum flavum in the upper thoracic region

Özet

Spinal stenoz, diğer bölgelere kıyasla toraksta daha az bilinen ve daha az görülen bir hastalıktır. Faset hipertrofisi, anterior disk protrüzyonu, spondilotik spurlar, ossifiye posterior longitudinal ligament, ligamentum flavum hipertrofisi veya ossifikasyonu gibi çeşitli hastalıklar stenoza neden olabilir. En sık alt torasik segmentler etkilenmektedir. Japon toplumunda torasik stenozun başlıca nedenlerinden biri olan ligamentum flavum ossifikasyonu, beyaz ırkta nadirdir. Paraparezinin izlediği bacaklarda hissizlik ve bacak ağrısı başlangıçta en sık karşılaşılan semptomlar iken, hastaların küçük bir grubunda başlangıç semptomu trunkal ağrıdır. Bu yazıda, beyaz ırka mensup bir hastada başlangıç semptomu trunkal ağrı olan ve üst torasik bölgede ligamentum flavum ossifikasyonu olan olağan dışı bir olgu sunuldu

🔖

Cite This Article

YILMAZ, A., BAHADIR, S. (2022). Miyelopatinin eşlik etmediği torakal ligamentum flavum ossifikasyonu: Dorsal ağrılı olgu sunumu. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, Cilt: 62 - Sayı: 1, 70–73. https://ajindex.com/articles/628686

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Marzluff JM, Hungerford GD, Kempe LG, Rawe SE, Trevor R, Perot PL Jr. Thoracic myelopathy caused by osteophytes of the articular processes: thoracic spondylosis. J Neurosurg 1979;50:779-83
  2. Epstein NE, Schwall G. Thoracic spinal stenosis: diagnostic and treatment challenges. J Spinal Disord 1994;7:259-69
  3. 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;66:511-8
  4. Panjabi MM, Takata K, Goel V, Federico D, Oxland T, Duranceau J, et al. Thoracic human vertebrae. Quantitative three-dimensional anatomy. Spine (Phila Pa 1976) 1991;16:888-901
  5. Barnett GH, Hardy RW Jr, Little JR, Bay JW, Sypert GW. Thoracic spinal canal stenosis. J Neurosurg 1987;66:338-44
  6. Chang UK, Choe WJ, Chung CK, Kim HJ. Surgical treatment for thoracic spinal stenosis. Spinal Cord 2001;39:362-9
  7. Schmidt RF, Goldstein IM, Liu JK. Ossified ligamentum flavum causing spinal cord compression in a patient with acromegaly. J Clin Neurosci 2013;20:1599-603
  8. Nakagawa H. Pathophysiology and surgical strategies in the management of the ossified spinal ligaments. World Neurosurg 2011;75:443-4
  9. Amato V, Giannachi L, Irace C, Corona C. Thoracic spinal stenosis and myelopathy: report of two rare cases and review of the literature. J Neurosurg Sci 2012;56:373-8
  10. Li F, Chen Q, Xu K. Surgical treatment of 40 patients with thoracic ossification of the ligamentum flavum. J Neurosurg Spine 2006;4:191-7
  11. Yoon SH, Kim WH, Chung SB, Jin YJ, Park KW, Lee JW, et al. Clinical analysis of thoracic ossified ligamentum flavum without ventral compressive lesion. Eur Spine J 2011;20:216-23
  12. Okada K, Oka S, Tohge K, Ono K, Yonenobu K, Hosoya T. Thoracic myelopathy caused by ossification of the ligamentum flavum. Clinicopathologic study and surgical treatment. Spine (Phila Pa 1976) 1991;16:280-7
  13. Sagar H, Fernandez-Madrid F, Kupsky W. Rare cause of thoracic myelopathy: ossified ligamentum flavum. J Clin Rheumatol 2010;16:326-9
  14. Hanakita J, Suwa H, Ohta F, Nishi S, Sakaida H, Iihara K. Neuroradiological examination of thoracic radiculomyelopathy due to ossification of the ligamentum flavum. Neuroradiology 1990;32:38-42
  15. Muthukumar N. Dural ossification in ossification of the ligamentum flavum: a preliminary report. Spine (Phila Pa 1976) 2009;34:2654-61
  16. Aizawa T, Sato T, Sasaki H, Kusakabe T, Morozumi N, Kokubun S. Thoracic myelopathy caused by ossification of the