Unilateral contiguous two level thoracic ossified hypertrophied facet joints with compressive myelopathy

Ossified hypertrophy of the facet joints in the thoracic region is very uncommon. We present a rare case of thoracic unilateral ossified hypertrophied facet joints with compressive myelopathy in a patient with scoliosis. The diagnosis is made with computed tomography and magnetic resonance imaging studies of the dorsal spine. Decompressive laminectomy and medial facetectomy was performed. Patient improved neurologically to normal status within 2 months. We present the review of the literature on the facet joint hypertrophy producing dorsal myelopathy.