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Journal of Korean Neurosurgical Society > Volume 39(1); 2006 > Article
Journal of Korean Neurosurgical Society 2006;39(1): 75-77.
Cervical Radiculomyelopathy due to Calcification of the Ligamentum Flavum.
Dong Wan Kang, Geun Sung Song, Won Ho Cho, Byung Kwan Choi
Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea. euphoria@hanmail.net
ABSTRACT
The authors experience a rare case of the cervical radiculomyelopathy due to calcification of ligamentum flavum at the level of C4-6 and report it with review of the literature. A 60-year-old woman was admitted, complaining progressive quariparesis, gait disturbance and neck pain. She had been treated with diabetes mellitus and hypertension for several years. On radiologic study, calcification of ligamentum flavum(CLF) at the C4-6 level was demonstrated on cervical spine CT and MR scan. Decompressive laminectomy of the C4-6 and removal of CLF were performed. During operation, thecal sac was severely compressed by hypertrophic ligamentum flavum and there were tight adhesion between calcified ligamentum flavum and dura. After the operation, her motor function and neck pain improved and she could walk with an assistant.
Key Words: Ligamentum flavum; Calcification; Radiculomyelopathy
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