Chitoku Shiro, Nishiura Iwao, Fukuda Miyuki, Amano Shigeru
Center of the Spinal Surgery, Nipponbashi Hospital, Osaka-shi, Osaka, Japan.
Center of the Spinal Surgery, Nipponbashi Hospital, Osaka-shi, Osaka, Japan.
World Neurosurg. 2017 Jul;103:952.e19-952.e22. doi: 10.1016/j.wneu.2017.04.097. Epub 2017 Apr 24.
Both ossification of the yellow ligament (OYL) and the ossification of the posterior longitudinal ligament are relatively rare clinical entities. We report a extremely rare case of the spinal canal stenosis because of OYL, OPLL and listhesis at the cervicothoracic junction.
A 69-year-old man had progressive pain over his bilateral axillar portion and right lower extremity for 1 year. Radiology showed cervical canal stenosis with ossification of OYL, OPLL, and listhesis at the cervicothoracic junction. Posterior decompression therapy was performed, and he recovered entirely from his symptoms.
Triple factors of OYL, OPLL and listhesis contributed the cervical canal stenosis limited at cervicothoracic junction. Early diagnosis and surgical therapy is recommended for the good prognosis of this pathologic condition, as well as careful long-term follow-up for the early detection of its recurrence.
黄韧带骨化（OYL）和后纵韧带骨化均为相对罕见的临床病症。我们报告了一例因颈胸交界处的黄韧带骨化、后纵韧带骨化和椎体滑脱导致椎管狭窄的极其罕见病例。
一名69岁男性双侧腋窝部和右下肢进行性疼痛1年。影像学检查显示颈椎管狭窄，伴有颈胸交界处的黄韧带骨化、后纵韧带骨化和椎体滑脱。实施了后路减压治疗，他的症状完全缓解。
黄韧带骨化、后纵韧带骨化和椎体滑脱这三个因素导致了局限于颈胸交界处的颈椎管狭窄。对于这种病理状况，建议早期诊断和手术治疗以获得良好预后，同时应进行仔细的长期随访以便早期发现复发情况。
