A case of ossification of the cervical anterior longitudinal ligament

Keisuke Onoda; Daisuke Tanioka; Kazuhiko Kurozumi; Shoji Tsuchimoto

doi:10.7887/jcns.11.289

A case of ossification of the cervical anterior longitudinal ligament

Keisuke Onoda, Daisuke Tanioka, Kazuhiko Kurozumi, Shoji Tsuchimoto

University Hospital

Research output: Contribution to journal › Article › peer-review

Abstract

Surgical management of ossification of the cervical anterior longitudinal ligament (OALL) associated with ossification of the cervical posterior longitudinal ligament (OPLL) was reported. A 83-year-old man was admitted to our hospital complaining of dysphagia and moderate myelopathy. Imaging studies, including esophagoscopy, revealed marked esophageal compression due to OALL that extended C2-C6 levels and OPLL (C4-C5 level) that compressed the cervical spinal cord. In anterior approach, the use of rongeurs and a high-speed drill facilitated excision of OALL and trans-vertebral anterior decompression without fusion was performed for the resection of OPLL. Postoperatively, patient's dysphagia and symptoms of myelopathy immediately resolved. Patients with dysphagia and coexisting myelopathy benefit from simultaneous surgery for resection of OALL and OPLL by anterior approach.

Original language	English
Pages (from-to)	289-292
Number of pages	4
Journal	Japanese Journal of Neurosurgery
Volume	11
Issue number	4
DOIs	https://doi.org/10.7887/jcns.11.289
Publication status	Published - 2002

Keywords

Anterior approach
Dysphagia
Ossification of the cervical anterior longitudinal ligament (OALL)
Ossification of the cervical posterior longitudinal ligament (OPLL)

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.7887/jcns.11.289

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title = "A case of ossification of the cervical anterior longitudinal ligament",

abstract = "Surgical management of ossification of the cervical anterior longitudinal ligament (OALL) associated with ossification of the cervical posterior longitudinal ligament (OPLL) was reported. A 83-year-old man was admitted to our hospital complaining of dysphagia and moderate myelopathy. Imaging studies, including esophagoscopy, revealed marked esophageal compression due to OALL that extended C2-C6 levels and OPLL (C4-C5 level) that compressed the cervical spinal cord. In anterior approach, the use of rongeurs and a high-speed drill facilitated excision of OALL and trans-vertebral anterior decompression without fusion was performed for the resection of OPLL. Postoperatively, patient's dysphagia and symptoms of myelopathy immediately resolved. Patients with dysphagia and coexisting myelopathy benefit from simultaneous surgery for resection of OALL and OPLL by anterior approach.",

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Y1 - 2002

N2 - Surgical management of ossification of the cervical anterior longitudinal ligament (OALL) associated with ossification of the cervical posterior longitudinal ligament (OPLL) was reported. A 83-year-old man was admitted to our hospital complaining of dysphagia and moderate myelopathy. Imaging studies, including esophagoscopy, revealed marked esophageal compression due to OALL that extended C2-C6 levels and OPLL (C4-C5 level) that compressed the cervical spinal cord. In anterior approach, the use of rongeurs and a high-speed drill facilitated excision of OALL and trans-vertebral anterior decompression without fusion was performed for the resection of OPLL. Postoperatively, patient's dysphagia and symptoms of myelopathy immediately resolved. Patients with dysphagia and coexisting myelopathy benefit from simultaneous surgery for resection of OALL and OPLL by anterior approach.

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A case of ossification of the cervical anterior longitudinal ligament

Abstract

Keywords

ASJC Scopus subject areas

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