Symptomatic thoracic ossified ligamentum flavum in achondroplasia: A case report and literature review

BACKGROUND: In a patient with achondroplasia, it is rare to encounter thoracic cord compression due to both spinal stenosis and ossification of the yellow ligament (OYL). CASE DESCRIPTION: A 33-year-old achondroplastic female presented with a progressive spastic paraparesis attributed to thoracic st...

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Detalles Bibliográficos
Autores principales: Rahimizadeh, Abolfazl, Sami, Sam Hajialiloo, Amirzadeh, Mahan, Rahimizadeh, Shaghayegh, Asgari, Naser
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8888289/
https://www.ncbi.nlm.nih.gov/pubmed/35242436
http://dx.doi.org/10.25259/SNI_101_2022
Descripción
Sumario:BACKGROUND: In a patient with achondroplasia, it is rare to encounter thoracic cord compression due to both spinal stenosis and ossification of the yellow ligament (OYL). CASE DESCRIPTION: A 33-year-old achondroplastic female presented with a progressive spastic paraparesis attributed to thoracic stenosis combined with T10-T11 OYL. Following a laminectomy, the patient demonstrated a marked recovery of neurological function. CONCLUSION: This case and 12 others from the literature demonstrated that achondroplastic patients who present with myelopathy secondary to thoracic stenosis and OYL can be readily diagnosed with MR/CT and successfully treated utilizing decompressive laminectomies with/without fusions (i.e., for those crossing the thoracolumbar junction).

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