Six cases of cervical ligamentum flavum calcification in Blacks in the French West Indies

Joint, Bone, Spine : Revue Du Rhumatisme
Philippe CabreS Arfi

Abstract

Calcification of the ligamentum flavum at the cervical spine is an uncommon condition reported mainly in Japanese patients. We describe the clinical manifestations, imaging study findings, and outcomes in six cases seen in the French West Indies. We retrospectively reviewed the medical charts of six patients admitted to an orthopedics department for spinal cord compression shown upon computed tomography to be caused by calcification of the ligamentu flavum. There were five women and one man, mean age at admission was 71.7 years (range, 64-79 years) and all six patients were Black. Five patients had cervical myelopathy and one was asymptomatic. All five symptomatic patients had cervical spinal stenosis, explaining the rapid symptom onset (within six and a half months) and severe motor loss. Computed tomography reconstruction in the sagittal plane ruled out ossification of the ligamentum flavum. Magnetic resonance imaging of the neck failed to demonstrate the calcifications but was useful in evaluating the severity of the spinal cord compression. One patient had articular chondrocalcinosis in both knees and another had calcifications in the basal ganglia. Surgical decompression by the posterior route was performed in two patients...Continue Reading

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Citations

Jul 16, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sang Hoon YoonHyun-Jib Kim
Feb 8, 2007·Journal of Spinal Disorders & Techniques·Andrew P CarlsonPaul T Turner
Oct 7, 2008·Journal of Spinal Disorders & Techniques·Shoji Yabuki, Shin-ichi Kikuchi
Apr 1, 2006·Journal of Neurosurgery. Spine·Fangcai LiKan Xu
Aug 22, 2007·Joint, Bone, Spine : Revue Du Rhumatisme·Marco GiulioniStefania Damiani
Nov 14, 2006·The Spine Journal : Official Journal of the North American Spine Society·Darryl C Baptiste, Michael G Fehlings
Sep 26, 2013·Asian Spine Journal·Shoji SekiTomoatsu Kimura
Jun 26, 2003·Neurosurgery·Natarajan Muthukumar, Usharani Karuppaswamy
Feb 26, 2020·Case Reports in Rheumatology·Indrit GrecaDan Zaccarini
Nov 13, 2018·Seminars in Arthritis and Rheumatism·Abdelhafeez MoshrifThomas Bardin
Jul 6, 2020·Néphrologie & thérapeutique·Anne BlanchardRosa Vargas-Poussou

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