Multilevel thoracic and lumbar ligamentum flavum ossification in an achondroplasic—a rare presentation
| Autor: | Jitesh Manghwani, Ankur Nanda, Anuj Gupta, Harvinder Singh Chhabra, Kalyan Verma, Kuldeep Bansal |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Foot drop medicine.medical_treatment Case Report Dermatology Thoracic Vertebrae Lumbar Osteogenesis medicine Humans Outpatient clinic Spinal canal Achondroplasia business.industry Ossification Ossification Heterotopic Laminectomy musculoskeletal system medicine.disease Surgery Ligamentum Flavum medicine.anatomical_structure Neurology Ligament Female medicine.symptom business |
| Zdroj: | Spinal Cord Ser Cases |
| ISSN: | 2058-6124 |
| Popis: | INTRODUCTION: Achondroplasia is a rare autosomal dominant condition characterized by stenosis in spinal canal. Multilevel Ossification of the ligamentum flavum in the spine is a rare occurrence which too can contribute to stenosed canal. CASE PRESENTATION: We report a case of an Indian achondroplasic dwarf with multilevel ossification of ligamentum flavum (OLF) at thoracic and lumbar segment. She presented in the outpatient department with bilateral weakness in legs with complete foot drop on the left side and was non-ambulatory. She was managed surgically by instrumentation with multiple interbody fusions with wide decompression and excision of OLF. The patient responded well to the surgery and became a walker after 2-year follow-up. DISCUSSION: Achondroplasic patients may present rarely with multiregional and multilevel OLF. It is important to identify them preoperatively so as to have good surgical outcome. Wide laminectomy, removal of the ossified ligament, and fusion with instrumentation resulted in the improvement of the patient’s neurological symptoms and functions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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