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Toledo JA, Isseldyk FV, Re M, et al. Ossification of the ligamentum flavum as cause of thoracic cord compression: Case report of a Latin American man and review of the literature. Surg Neurol Int. 2013;4:119doi: 10.4103/2152-7806.118489.
Toledo, J. A., Isseldyk, F. V., Re, M., & Garrote, M. (2013). Ossification of the ligamentum flavum as cause of thoracic cord compression: Case report of a Latin American man and review of the literature. Surgical neurology international, 4119. https://doi.org/10.4103/2152-7806.118489
Toledo, Javier A, et al. "Ossification of the ligamentum flavum as cause of thoracic cord compression: Case report of a Latin American man and review of the literature." Surgical neurology international vol. 4 (2013): 119. doi: https://doi.org/10.4103/2152-7806.118489
Toledo JA, Isseldyk FV, Re M, Garrote M. Ossification of the ligamentum flavum as cause of thoracic cord compression: Case report of a Latin American man and review of the literature. Surg Neurol Int. 2013 Sep 19;4:119. doi: 10.4103/2152-7806.118489. eCollection 2013. PMID: 24083054; PMCID: PMC3784953.
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Surg Neurol Int. 2013 Sep 19;4:119. doi: 10.4103/2152-7806.118489. eCollection 2013.

Ossification of the ligamentum flavum as cause of thoracic cord compression: Case report of a Latin American man and review of the literature.

Surgical neurology international

Javier A Toledo, Facundo Van Isseldyk, Martín Re, Miguel Garrote

Affiliations

  1. Department of Neurosurgery, Hospital Clemente Álvarez, Rosario, Santa Fe, Argentina.

PMID: 24083054 PMCID: PMC3784953 DOI: 10.4103/2152-7806.118489

Abstract

BACKGROUND: Ossification of the ligamentum flavum is a widely described pathology in eastern Asia. Cases have been reported in northern Africa, the Middle-East, India, the Caribbean, Europe, and North America, but no cases from Latin America have been published in the literature. It affects mostly elderly men, with a possible association with obesity and type 2 diabetes.

CASE DESCRIPTION: A 38-year-old previously healthy Latin American male presented to the emergency room department with severe functional disability and a 3/5 paraparesis. Blood reports showed no abnormalities. Computed tomography and magnetic resonance imaging showed a ligamentum flavum ossification with myelopathy. The patient underwent a T3-T9 laminotomy. At hospital discharge, the patient remained with a 3/5 paraparesis, mild hypoesthesia in both lower limbs and bladder incontinence. Rectal sphincter was continent. At 6 months, he was able to walk with a cane, with no sphincter or sensory alterations.

CONCLUSIONS: Ligamentum flavum ossification is rare. To our understanding, this is the first case reported in the Latin American population.

Keywords: Dorsal stenosis; ligamentum flavum ossification; thoracic myelopathy

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