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Severe cervical stenosis due to ossification of the posterior longitudinal ligament without neurological manifestations (“silent OPLL”)

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Abstract

We report a case of severe cervical spinal stenosis due to ossification of the posterior longitudinal ligament (OPLL) whose clinical examination showed no symptoms or signs of neurological damage (“silent OPLL”). Questions about the diagnosis and the treatment of silent OPLL are discussed in the light of published data.

Sommario

Viene riportato un caso di grave stenosi del canale cervicale dovuta ad ossificazione del legamento longitudinale posteriore (OPLL) che all'esame clinico non mostrava alcun sintomo o segno di danno neurologico (OPLL “silente”). I problemi diagnostici e terapeutici dell'OPLL silente vengono discussi alla luce dei dati riportati in letteratura.

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References

  1. Albisinni U., Merlini L., Terayama K., Othsuka K., Savini R.:Epidemiologia radiografica delle ossificazioni dei legamenti e della degenerazione discale del rachide cervicale. Chir. Org. Mov. 70: 15–22, 1985.

    CAS  Google Scholar 

  2. Breidhal P.:Ossification of the posterior longitudinal ligament in the cervical spine. “The Japanese disease”. Australian Rad. 13:311–313, 1969.

    Google Scholar 

  3. Coste F., Guiot G., Verspyck R., Basset M., Laurent F.:Paraplégie par hyperostose vertébrale postérieure. Rev. Rhum. 23:310–313, 1956.

    CAS  PubMed  Google Scholar 

  4. Epstein N., Epstein J., Benjamin V., Ransohoff J.:Traumatic myelopathy in patients with cervical spinal stenosis without fracture or dislocation. Spine 5:489–496, 1980.

    CAS  PubMed  Google Scholar 

  5. Gui L., Merlini L., Savini R., Davidovits P.:Cervical myelopathy due to ossification of the posterior longitudinal ligament. It. J. Orthop. Traumat. 9: 269–280, 1983.

    CAS  Google Scholar 

  6. Merlini L., Albisinni U., Savini R.:Paraparesis from cauda equina compression due to disc herniation of LA-L5, in a patient with ossification of the posterior longitudinal ligament (OPLL) at LA-L5 and C4–C5. Skeletal Radiol. 15:488–491, 1986.

    Article  CAS  PubMed  Google Scholar 

  7. Merlini L., Davidovits P., Savini R.:La Tac nella mielopatia cervicale. Arch. Ortop. Reum. 96: 175–179, 1983.

    Google Scholar 

  8. Ono K., Ota H., Tada K., Hamada H., Takaoka T.:Ossified posterior longitudinal ligament. A clinico-pathologic study. Spine 2: 126–138, 1977.

    Google Scholar 

  9. Resnick D., Guerra J. Jr. Robinson C.A., Vint V.C.:Association of diffuse idiopathic skeletal hyperostosis (DISH) and calcification and ossification of the posterior longitudinal ligament. Am. J. Roentgenol. 131: 1049–1053, 1978.

    CAS  Google Scholar 

  10. Terayama K.:Ossification of the posterior longitudinal ligament in the cervical spine. Orthop. Surg. (Jpn) 15: 1083–1095, 1964.

    Google Scholar 

  11. Tsuyama N., Terayama K. et al:The ossification of the posterior longitudinal ligament of the spine (OPLL). J. Jpn. Orthop. Ass. 55: 425–440, 1981.

    Google Scholar 

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Authors and Affiliations

  1. Divisione di Neuropatologia, Istituto Ortopedico Rizzoli, Via G.C. Pupilli 1, 40136, Bologna

    Merlini L., Granata C., Albisinni U., Marini M. L. & Giannini S.

  2. Ospedale S. Orsola, Bologna

    Dominici G.

Authors
  1. Merlini L.
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  2. Granata C.
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  3. Albisinni U.
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  4. Marini M. L.
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  5. Giannini S.
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  6. Dominici G.
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Merlini, L., Granata, C., Albisinni, U. et al. Severe cervical stenosis due to ossification of the posterior longitudinal ligament without neurological manifestations (“silent OPLL”). Ital J Neuro Sci 10, 93–96 (1989). https://doi.org/10.1007/BF02333879

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  • DOI: https://doi.org/10.1007/BF02333879

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