Ossification of posterior longitudinal ligament

Case contributed by Dr Utkarsh Kabra

Presentation

Quadriparesis.

Patient Data

Age: 60 years
Gender: Male

Continuous ossification and thickening of posterior longitudinal ligament in cervical spine with ligament flavum ossification/thickening at places causing mild to moderate compression of cord. Intramedullary hyperintensity seen at C6-7 level consistent with compressive myelopathy. Segmental ossification and thickening of posterior longitudinal ligament also seen in visualized dorsal spine.

Case Discussion

Above case shows severe continuous ossification and thickening of the posterior longitudinal ligament with ligamentum flavum ossification/thickening at places causing mild to moderate compression of the cord and resulting in compressive myelopathy and quadriparesis. Ossification and thickening of posterior longitudinal ligament is also seen in visualized upper dorsal spine. These findings are consistent with stage 3, type 3 (mixed) ossification of posterior longitudinal ligament.

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Case information

rID: 70871
Published: 8th Sep 2019
Last edited: 10th Sep 2019
Inclusion in quiz mode: Included
Institution: Getwell Poly Clinic & Hospital

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