Mak Kan-hing, Mak Kong-ling, Gwi-Mak Elaine
Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Kowloon, Hong Kong Special Administrative Region, China.
Spine (Phila Pa 1976). 2002 Jan 1;27(1):E11-4. doi: 10.1097/00007632-200201010-00027.
A case of ossification on both sides of the ligamentum flavum in the cervicothoracic junction is described.
To review the pathology associated with ossification of the ligamentum flavum in the spine and its incidence at the cervicothoracic junction.
The literature on the common sites for ossification of the ligamentum flavum is reviewed. No report described ossification on the outer surface of the ligament presenting as ossification nodules on the medial side of the apophyseal joint.
The clinical, radiographic, and pathologic features associated with ossification of the ligamentum flavum are presented. The ossified ligament grew into nodular masses on both surfaces: posterolaterally on the medial surface of the apophyseal joint and anteromedially on the undersurface of the lamina. The masses were connected by a film of elastic fibers from the remnant ligamentum flavum.
The symptoms and physical signs of cervical myelopathy improved after laminectomy and removal of the ossified ligament. There was no recurrence.
The reported case adds to the literature on the pathology associated with ossification of the spinal ligaments.
描述了一例发生在颈胸交界处黄韧带双侧骨化的病例。
回顾与脊柱黄韧带骨化相关的病理学及其在颈胸交界处的发病率。
对黄韧带骨化的常见部位相关文献进行了综述。尚无报告描述韧带外表面骨化表现为关节突关节内侧的骨化结节。
介绍了与黄韧带骨化相关的临床、影像学和病理学特征。骨化韧带在两个表面生长为结节状肿块：在关节突关节内侧的后外侧以及椎板下表面的前内侧。这些肿块由残留黄韧带的弹性纤维膜相连。
椎板切除并切除骨化韧带后，颈椎脊髓病的症状和体征有所改善。无复发情况。
该报告病例补充了有关脊柱韧带骨化相关病理学的文献。
