Iftekhar Noama, Rasool Abdullah, Khan Irfan
Stritch School of Medicine, Loyola University of Chicago, Maywood, Illinois, United States.
Secondary School, Lahore Grammar School, Lahore, Punjab, Pakistan.
Surg Neurol Int. 2020 Mar 6;11:37. doi: 10.25259/SNI_605_2019. eCollection 2020.
Symptomatic compression of the cervical spinal cord by ossification of the ligamentum flavum (OLF) is rare. It typically involves the elderly and is particularly prominent in the Asian male population. Here, we present a 70-year-old Pakistani female who became quadriparetic due to OLF.
A 70-year-old female became increasingly quadriparetic over 3 months duration, but exhibited preservation of vibration and proprioception. The cervical magnetic resonance/computed tomography revealed dorsal OLF measuring 7 mm × 25 mm × 14 mm. Two months following a decompressive laminectomy, her symptoms fully resolved.
Although rare in older patients, cervical OLF may contribute to significant cervical myelopathy characterized by a progressive quadriparesis that can be readily resolved with a decompressive laminectomy.
黄韧带骨化（OLF）导致的颈脊髓症状性压迫较为罕见。它通常累及老年人，在亚洲男性人群中尤为突出。在此，我们报告一名70岁的巴基斯坦女性，她因OLF而出现四肢瘫。
一名70岁女性在3个月内四肢瘫症状逐渐加重，但振动觉和本体感觉保留。颈椎磁共振成像/计算机断层扫描显示背侧OLF大小为7毫米×25毫米×14毫米。减压性椎板切除术后两个月，她的症状完全缓解。
尽管在老年患者中罕见，但颈椎OLF可能导致以进行性四肢瘫为特征的严重颈髓病，减压性椎板切除术可使其症状轻易缓解。
