Ossification of the posterior longitudinal ligament

Case contributed by Frank Gaillard
Diagnosis certain

Patient Data

Age: Adult

Pronounced posterior longitudinal ligament ossification extends from the upper part of C2 down to C5, and then to a lesser degree at the levels of C7 and T1. There is resulting quite pronounced narrowing of the vertebral canal which measured measures 7 mm in sagittal diameter between levels of C3 and C5. In the left side at C4/5 there is osteophytic encroachment on the neural exit foramen. Anterior longitudinal ligament ossification is most pronounced at C5 to C7.

Case Discussion

Typical appearance of extensive OPLL which can be challenging to treat. 

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