Pascal-Moussellard H, Cabre P, Smadja D, Kaidomar S, Catonne Y
Department of Orthopedic Surgery, University Hospital of Fort de France, Martinique (French West Indies).
Eur Spine J. 1999;8(3):238-40. doi: 10.1007/s005860050165.
Two cases of cervical myelopathy due to calcification of the ligamenta flava (CLF) are described for the first time in black patients from the French West Indies. A pre-operative CT scan differentiated the diagnosis from one of ossification of the ligamenta flava. Microanalysis on the operatively excised specimen in one patient revealed a mixture of calcium pyrophosphate dihydrate crystals and hydroxypatite crystals. Poor outcome in one patient contrasting with excellent recovery in the other one, who had undergone posterior decompressive laminectomy, emphasizes the importance of surgery in the management of CLF.
首次报道了法属西印度群岛黑人患者中两例因黄韧带钙化（CLF）导致的颈椎病病例。术前CT扫描将该诊断与黄韧带骨化相鉴别。对其中一名患者手术切除标本的微观分析显示，存在二水焦磷酸钙晶体和羟基磷灰石晶体的混合物。一名患者预后较差，而另一名接受后路减压椎板切除术的患者恢复良好，这强调了手术在CLF治疗中的重要性。
