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KMID : 1146020100030010043
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Journal of Critical Spine Cases
2010 Volume.3 No. 1 p.43 ~ p.46
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Upper Thoracic Ossification of Posterior Longitudinal Ligament Mimicking Symptoms of an Existing Unprogressive Lumbar Stenosis
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Chan Chee-Keong
Cho Ji-Young
Lee Ho-Yeon
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Abstract
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Patients with thoracic ossification of the posterior longitudinal ligament (OPLL) are generally asymptomatic, however, they may present with signs and symptoms that do not correspond to the level of the compression. This phenomenon is termed as 'false localizing'. It is uncommon and there are only a few reported cases in the literature. We illustrate here, a case report of a T2-3 OPLL with a concurrent lumbar L4-5 stenosis, which presented with low back, buttock and leg pain. An upper thoracic oblique corpectomy via a minimal invasive suprasternal approach without the need for splitting the manubrium was performed. The ossified lesion was completely extirpated and the patient symptoms were completely resolved. Thoracic lesions can mimic other diseases and in the presence of a coexisting lumbar lesion, can pose a diagnostic challenge and may lead to delayed management. We need to be extremely vigilant and a high index of suspicion is required in the accurate diagnosis and management of patients with multiple spinal lesions.
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KEYWORD
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Cervicothoracic, False localizing, Oblique corpectomy, Ossification of posterior longitudinal ligament, Upper thoracic
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