Simultaneous ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum causing upper thoracic myelopathy in DISH: case report and literature review

被引：31

作者：

Guo, Qunfeng ^{[1
]}

Ni, Bin ^{[1
]}

Yang, Jun ^{[1
]}

Zhu, Zhuangchen ^{[1
]}

Yang, Jian ^{[1
]}

机构：

[1] Second Mil Med Univ, Dept Orthoped, Changzheng Hosp, Shanghai 200003, Peoples R China

来源：

EUROPEAN SPINE JOURNAL | 2011年 / 20卷

关键词：

Diffuse idiopathic skeletal hyperostosis; Ossification of the posterior longitudinal ligament; Ossification of the ligamentum flavum; Upper thoracic; Myelopathy; IDIOPATHIC SKELETAL HYPEROSTOSIS; SPINAL-CORD COMPRESSION; CERVICAL MYELOPATHY; CRANIOCERVICAL JUNCTION; ANTERIOR DECOMPRESSION; FORESTIER-DISEASE; PATIENT; OPLL; MASS;

D O I：

10.1007/s00586-010-1538-z

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

A rare case of a 44-year-old Chinese male with diffuse idiopathic skeletal hyperostosis (DISH) and simultaneous ossification of the posterior longitudinal ligament (OPLL) and ossification of the ligamentum flavum (OLF) at T1-2 causing thoracic myelopathy is reported herein. Posterior decompression without extirpating the OPLL was performed at T1-2. Postoperatively, symptoms were greatly improved, with remaining hyperreflexia and Grade 4/5 muscle strength in the lower extremities. The Japanese Orthopedic Association score improved from 5 preoperatively to 9 at final follow-up. The presence of a cyst due to leakage of cerebrospinal fluid was confirmed by MRI at day 27, but it resolved after conservative management. The clinical manifestation of DISH, the relationship among DISH, OPLL, and OLF, and management of thoracic myelopathy due to OPLL and OLF were reviewed.

引用

页码：S195 / S201

页数：7

共 38 条

[1]

SPINAL-CORD COMPRESSION IN DIFFUSE IDIOPATHIC SKELETAL HYPER-OSTOSIS [J].

ALENGHAT, JP ;

HALLETT, M ;

KIDO, DK .

RADIOLOGY, 1982, 142 (01) :119-120

[2]

Multilevel cervical oblique corpectomy in the treatment of ossified posterior longitudinal ligament in the presence of ossified anterior longitudinal ligament [J].

Chacko, Ari G. ;

Daniel, Roy T. .

SPINE, 2007, 32 (20) :E575-E580

[3]

Symptomatic lumbar mobile segment with spinal canal stenosis in a fused spine associated with diffused idiopathic skeletal hyperostosis [J].

Chi, Daming ;

Miyamoto, Kei ;

Hosoe, Hideo ;

Kawai, Gou ;

Ohnishi, Kazuichiro ;

Suzuki, Naoki ;

Sumi, Hiroshi ;

Shimizu, Katsuji .

SPINE JOURNAL, 2008, 8 (06) :1019-1023

[4]

ATLANTOAXIAL SUBLUXATION COMPLICATED BY DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS - A CASE-REPORT [J].

CHIBA, H ;

ANNEN, S ;

SHIMADA, T ;

IMURA, S .

SPINE, 1992, 17 (11) :1414-1417

[5]

DAMAGED LIGAMENTS AT THE CRANIOCERVICAL JUNCTION PRESENTING AS AN EXTRADURAL TUMOR - A DIFFERENTIAL-DIAGNOSIS IN THE ELDERLY [J].

CROCKARD, HA ;

SETT, P ;

GEDDES, JF ;

STEVENS, JM ;

KENDALL, BE ;

PRINGLE, JAS .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1991, 54 (09) :817-821

[6]

Paravertebral ligamentous ossification: DISH, OPLL and OLF [J].

Ehara, S ;

Shimamura, T ;

Nakamura, R ;

Yamazaki, K .

EUROPEAN JOURNAL OF RADIOLOGY, 1998, 27 (03) :196-205

[7]

Simultaneous cervical diffuse idiopathic skeletal hyperostosis and ossification of the posterior longitudinal ligament resulting in dysphagia or myelopathy in two geriatric North Americans [J].

Epstein, NE .

SURGICAL NEUROLOGY, 2000, 53 (05) :427-431

[8]

Long-term follow-up study of anterior decompression and fusion for thoracic myelopathy resulting from ossification of the posterior longitudinal ligament [J].

Fujimura, Y ;

Nishi, Y ;

Nakamura, M ;

Toyama, Y ;

Suzuki, N .

SPINE, 1997, 22 (03) :305-311

[9]

CERVICAL MYELOPATHY CAUSED BY PSEUDARTHROSIS BETWEEN THE ATLAS AND AXIS ASSOCIATED WITH DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS [J].

GOTO, S ;

TANNO, T ;

MORIYA, H .

SPINE, 1995, 20 (23) :2572-2575

[10]

CERVICAL MYELOPATHY, OSSIFICATION OF THE POSTERIOR LONGITUDINAL LIGAMENT, AND DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS - PROBLEMS IN INVESTIGATION [J].

GRIFFITHS, ID ;

FITZJOHN, TP .

ANNALS OF THE RHEUMATIC DISEASES, 1987, 46 (02) :166-168

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