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A rare neurological presentation due to ossification of the posterior longitudinal ligament of the thoracic spine and ankylosing spondylitis (case report)

H
HUANG TJ; HSU RWW; LIAO YS
SPINAL CORD , 1997, vol. 35, n° 8, p. 550-553
Doc n°: 81405
Localisation : Centre de Réadaptation de Lay St Christophe , en ligne
Descripteurs : DA524 - PELVISPONDYLITE RHUMATISMALE Url : http://www.nature.com/sc/archive/index.html

Ossification of the posterior longitudinal ligament (OPLL)
may be associated with certain rheumatic conditions including ankylosing spondylitis (AS), diffuse idiopathic skeletal hyperostosis (DISH) or spondylosis. More than 95% of all OPLL are localized at the cervical spine. Herein, we report a case of OPLL at the thoracic spine in an HLA-B27-positive female patient with ankylosing spondylitis. The patient was presented to use with spastic paraparesis. The imaging studies included plain roentgenograms, tomograms, myelo-CT and magnetic resonance imaging (MRI). A continuous rod-like ossification along the posterior aspects of the fourth to sixth thoracic vertebrae with spinal cord compression was noted. The patient underwent a laminectomy from T4 to T6.
At the second year follow-up examination, residual upper back soreness and mild left thigh pain were noted. However, the patient had resumed a full daily schedule and could walk freely without any support.
- Complication neurologique

Langue : ANGLAIS

Identifiant basis : 1997002431

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