Sidronio Talles, Kumar Sanjeev
Anesthesiology, University of Florida College of Medicine, Gainesville, USA.
Cureus. 2021 Oct 25;13(10):e19023. doi: 10.7759/cureus.19023. eCollection 2021 Oct.
Ossification of the ligamenta flava (OLF) is a rare and likely multifactorial condition that most commonly affects the lower thoracic spine. It can result in chronic pain and neurological deficits and has a higher prevalence in men of Japanese descent. We present the case of OLF of the lumbar spine in a Caucasian man with a history of multiple sports-related injuries. To treat his severe lumbar spinal stenosis, the patient underwent endoscopic intralaminar laminotomy with partial facetectomy and complete resection of OLF with lateral recess decompression, which immediately resolved his symptoms. We noted signs of OLF based on T1 and T2 signal changes upon re-evaluation of MRI.
黄韧带骨化（OLF）是一种罕见的、可能由多种因素导致的病症，最常影响下胸椎。它可导致慢性疼痛和神经功能缺损，在日本裔男性中患病率更高。我们报告了一名有多次运动相关损伤史的白人男性腰椎黄韧带骨化的病例。为治疗其严重的腰椎管狭窄症，该患者接受了内镜下椎板间开窗减压术，包括部分关节突切除术以及黄韧带完全切除术和侧隐窝减压术，术后症状立即得到缓解。在对磁共振成像（MRI）进行重新评估时，我们根据T1和T2信号变化发现了黄韧带骨化的迹象。
