Sundeep Maddala, Hirano Yoshitaka, Iketani Susumu, Konno Akiyoshi
Southern Tohoku Institute for Neuroscience, Koriyama City, Fukushima Prefecture, Japan.
Surg Neurol Int. 2017 Jun 13;8:108. doi: 10.4103/sni.sni_102_17. eCollection 2017.
Ossified anterior longitudinal ligament (OALL) of the cervical spine can cause dysphagia, dyspnoea, and dysphonia, although these symptoms are rare.
A 71-year-old male presented with gradually progressive dysphagia secondary to OALL. He underwent fiber optic endoscopy and lateral video fluoroscopy. The OALL extended from C4 to C7 and contributed to significant compression of the pharynx as demonstrated on plain cervical radiography, magnetic resonance (MR) imaging, and computed tomography (CT). Following microsurgical resection of the OALL, his symptoms improved.
This study focuses on the clinical and radiographic presentation of OALL; the latter utilizing plain X-rays, MR, and CT studies. Notably, surgical resection is straightforward and allows for immediate decompression of the pharynx as long as it is truly the symptomatic problem.
颈椎椎体前纵韧带骨化（OALL）可导致吞咽困难、呼吸困难和声音嘶哑，尽管这些症状较为罕见。
一名71岁男性因OALL继发逐渐进展的吞咽困难就诊。他接受了纤维内镜检查和侧位视频透视检查。颈椎正位X线片、磁共振成像（MR）和计算机断层扫描（CT）显示，OALL从C4延伸至C7，导致咽部明显受压。经显微手术切除OALL后，他的症状有所改善。
本研究聚焦于OALL的临床和影像学表现；影像学检查采用普通X线、MR和CT。值得注意的是，只要手术切除是真正的症状性问题，手术切除操作简单，可立即解除咽部压迫。
