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Successful treatment of continuous ossification of the posterior longitudinal ligament in the lumbar spine using percutaneous transforaminal endoscopic spinal decompression: a case report
- Source :
- Journal of International Medical Research, Vol 49 (2021), The Journal of International Medical Research
- Publication Year :
- 2021
- Publisher :
- SAGE Publishing, 2021.
-
Abstract
- Ossification of the posterior longitudinal ligament (OPLL) of the lumbar spine is rare relative to that of the cervical spine but is often associated with more severe symptoms. Continuous lumbar OPLL is extremely rare. We herein describe a 48-year-old Chinese woman with lumbar spinal stenosis caused by continuous OPLL. She presented with a 5-year history of lower back pain and intermittent claudication. We performed percutaneous transforaminal endoscopic decompression by the posterolateral approach to achieve adequate decompression of the spinal canal up to the lower 1/3 level (0.9 cm) of the L1 vertebral body and down to the upper 1/2 level (1.3 cm) of the L2 vertebral body. After surgery, the patient’s neurological function substantially improved, and her visual analog scale scores for the lower back and both lower extremities and her Oswestry disability index were significantly lower than those in the preoperative period. During the 12-month clinical follow-up period, the patient’s neurological function was fully restored, and she regained her ability to walk normally. No surgery-related complications were observed. This case report describes a novel surgical approach that may be an effective treatment alternative for continuous lumbar OPLL.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
Medicine (General)
Percutaneous
Neurological function
lumbar spinal stenosis
Case Reports
Biochemistry
neurological function
percutaneous transforaminal endoscopic decompression
03 medical and health sciences
0302 clinical medicine
Lumbar
R5-920
ossification of the posterior longitudinal ligament
Osteogenesis
medicine
Humans
case report
Continuous
Lumbar Vertebrae
business.industry
Biochemistry (medical)
Lumbar spinal stenosis
Ossification of the posterior longitudinal ligament
Cell Biology
General Medicine
Middle Aged
medicine.disease
Decompression, Surgical
Cervical spine
Surgery
Longitudinal Ligaments
Treatment Outcome
030220 oncology & carcinogenesis
Spinal decompression
Lumbar spine
Female
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 14732300
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Journal of International Medical Research
- Accession number :
- edsair.doi.dedup.....7f4190f07289bcf17a1c3156d10e7877