Spinal compression due to ossified yellow ligament: a short series of 5 patients and literature review

Surgical Neurology
Sandeep MohindraVirender Kumar Khosla

Abstract

Ossification of ligamentum flavum in the thoracic region causing compressive myelopathy among middle-aged patients is a poorly described entity. Five patients of Indian origin with OYL are described. Their clinical presentations, surgical options, and long-term outcome are presented. Radiologic and clinical follow-up of one of the patient is described over a span of 10 years. Decompressive laminectomy and excision of the OYL is the commonly performed surgical procedure. A rapid neurologic improvement follows decompression. The persistent spasticity in certain patients is attributed to irreversible changes within the cord. The disease is thought to be progressive in nature. The prolonged follow-up of these patients suggests that the long-term prognosis is poor. Selective racial involvement and variable clinical presentations, with treatment options, are discussed.

References

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Citations

Dec 15, 2010·Acta neurochirurgica·Sandeep MohindraSunil Kumar Gupta
Feb 8, 2011·Surgical Neurology International·Praveen KumarAshok Kumar Verma
Nov 4, 2008·Journal of Neurosurgery. Spine·Risheng XuAli Bydon
Apr 2, 2013·The Spine Journal : Official Journal of the North American Spine Society·Rui GaoLianshun Jia
Apr 5, 2017·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·Chris Yuk Kwan TangKenneth Man Chee Cheung
Apr 18, 2008·Journal of Spinal Disorders & Techniques·Shuichi KaneyamaKazuo Yonenobu
Oct 22, 2009·Journal of Korean Neurosurgical Society·Hyuk HurSoo-Han Kim

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