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Ossification of nuchal ligament

Case contributed by Sandeep Singh Awal
Diagnosis certain

Presentation

Chronic neck pain and stiffness. There is no history of trauma.

Patient Data

Age: 50 years
Gender: Female
x-ray

Evidence of cervical spondylosis with incidental finding of nuchal ligament ossification.

Case Discussion

The nuchal ligament or ligamentum nuchae extends from the external occipital protuberance of skull and median nuchal line to the spinous process of the seventh cervical vertebra 1.

Ossification of the nuchal ligament is seen as a radio-opaque density within the soft tissue posterior to the spinous processes of the cervical vertebrae 2.

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