Oct 2026· World Journal of Advanced Research and Reviews· 0 citations
TL;DR
Simultaneous OPLL and OLF in the same thoracic segment is very challenging and risky to treat, regardless of the surgical method selected.
Abstract
Thoracic ossification of the posterior longitudinal ligament (OPLL) combined with ossification of the ligamentum flavum (OLF) is an uncommon cause of myelopathy, especially in our population. The optimal treatment for this thoracic myelopathy remains controversial, and the high risk of postoperative paralysis remains a major complication. We report the case of a 66-year-old man with progressive spinal cord compression due to simultaneous OPLL and OLF at T2–T3. Posterior decompression by T2–T3 laminectomy was performed without extirpating the OPLL. Postoperatively, symptoms improved greatly, with residual hyperreflexia and grade 3/5 muscle strength in the lower extremities.
Conclusion: Simultaneous OPLL and OLF in the same thoracic segment is very challenging and risky to treat, regardless of the surgical method selected. Early surgery should be considered for OPLL and OLF in the thoracic spine.
Multilevel thoracic ossification of the posterior longitudinal ligament (T-OPLL), especially when it involves more than five consecutive vertebrae, remains surgically challenging. In recent years, a strategy focused on “spinal cord de-tension” has been proposed for such extensive involvements. This report describes a 5...
Lei Ren, Hong-Ju Liu, Chui-Guo Sun et al.· Frontiers in Surgery· 0 citations
It is suggested that full-endoscopic decompression, by preserving the posterior tension band and paraspinal musculature, may represent a viable primary surgical option for T-OLF in high-demand athletes requiring preservation of spinal mobility and kinetic chain function.
Seung-Hoon Lee, Seung-Jin Choi, C. Hofstetter et al.· Journal of Neurosurgery: Cas...· 0 citations
Objective: Thoracic ossification of the ligamentum flavum (T-OLF) is a primary cause of thoracic myelopathy in East Asian populations. Unilateral biportal endoscopic (UBE) decompression offers a minimally invasive alternative. This study evaluates the feasibility and clinical outcomes of UBE decompression in patients w...
Fang-Ling Zhong, Chen-Xing Huang, Xiao-Teng Feng et al.· Journal of Clinical Medicine· 0 citations
Focal radiographic stability, rather than continued enlargement of the residual mass, was the predominant postoperative course after PDF, with threshold-level progression infrequent and neurological improvement maintained.
Maiweilan Maihemuti, G. Yoshida, T. Hasegawa et al.· Global Spine Journal· 0 citations
Degenerative cervical myelopathy (DCM), earlier referred to as cervical spondylotic myelopathy, involves spinal cord dysfunction from compression in the neck. The prevalence of DCM is expected to rise with age, making the optimization of treatment strategies crucial. Pharmacological treatments, including non-steroidal...
Swarjith Nimmakayala, Srishti Dixit, J. Chaitanya et al.· Journal of Neurosurgery Acad...· 0 citations
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