Fotakopoulos George, Georgakopoulou Vasiliki Epameinondas, Trakas Nikolaos, Sklapani Pagona, Brotis Alexandros G
Department of Neurosurgery, General University Hospital of Larissa, 41221 Larissa, Greece.
Department of Pathophysiology, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Med Int (Lond). 2024 Jun 26;4(5):48. doi: 10.3892/mi.2024.172. eCollection 2024 Sep-Oct.
The present study reports the case of a 50-year-old obese male with ankylosing spondylitis, Scheuermann's kyphosis. The patient was asymptomatic concerning the ectopic ossification of the posterior longitudinal ligament (OPLL) at the cervical spine; he developed quadriparesis and respiratory insufficiency following minor head trauma. Even though trauma to the cervical spine in patients with OPLL is common, to the best of our knowledge, this is the first reported case of an extensive osteophyte with a lethal outcome after syncope. In rare occasions, it may be present with syncope and potentially lethal outcomes, particularly when precipitated by trauma. Therefore, the management of OPLL with significant canal stenosis should not be unnecessarily delayed.
本研究报告了一例50岁肥胖男性，患有强直性脊柱炎、休门氏驼背。该患者颈椎后纵韧带骨化（OPLL）无症状；他在轻微头部外伤后出现四肢瘫痪和呼吸功能不全。尽管OPLL患者颈椎外伤很常见，但据我们所知，这是首例报告的广泛骨赘在晕厥后导致致命后果的病例。在极少数情况下，它可能伴有晕厥和潜在的致命后果，尤其是由外伤诱发时。因此，对于存在明显椎管狭窄的OPLL，治疗不应不必要地延迟。
