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The pattern of spinal and extraspinal hyperostosis in patients with ossification of the posterior longitudinal ligament and the ligamentum flavum causing myelopathy

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Abstract

Thirty one patients suffering from myelopathy associated with ossification of the posterior longitudinal ligament and ligamentum flavum of the spine have been investigated. The pattern of spinal and peripheral hyperostosis was recorded in each case. Flowing anterior vertebral hyperostosis and ligamentous ossification at the enthesis around the pelvis and hips were the most frequent associations, occurring in approximately 86% of patients. The distribution and incidence of the spinal and extraspinal hyperostosis in this series corresponds closely to the findings in diffuse idiopathic skeletal hyperostosis (DISH). The present findings indicate that patients suffering from cervical myelopathy and ossification of the posterior longitudinal ligament should be regarded as manifesting focal features of a more generalised disorder producing skeletal hyperostosis.

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References

  1. Bailey P, Casamajor L (1911) Osteo-arthritis of the spine as a cause of compression of the spinal cord and its roots. J Nerv Dis 38:588

    Google Scholar 

  2. Breidahl P (1969) Ossification of the posterior longitudinal ligament in the cervical spine. “The Japanese Disease” occurring in patients of British descent. Australas Radiol 13:311

    Google Scholar 

  3. Forestier J, Lagier R (1971) Ankylosing hyperostosis of the spine. Clin Orthop 74:65

    Google Scholar 

  4. Forestier J, Rotes-Querol J (1950) Senile ankylosing hyperostosis of the spine. Ann Rheum Dis 9:321

    Google Scholar 

  5. Hukuda S, Shickikawa K, Mochizuki T, Ogata M (1981) Cervical hyperostotic myelopathy and its surgical treatment. Rhumatologic 33:81

    Google Scholar 

  6. Key CA (1838) Paraplegia depending on disease of the ligaments of the spine. Guy's Hospital Reports 3:17

    Google Scholar 

  7. Kovacs A (1974) Observation of the cervical segment of the spinal canal by an extension device. Acta Radiol [Diagn] (Stockh) 15:33

    Google Scholar 

  8. Kurokawa T, Terayama K, Yamauchi Y, Yamamura I, Tezuka A (1979) Epidemiological study of the ossification of the posterior longitudinal ligament outside Japan (in Japanese). J Jpn Orthop Ass 53:1129

    Google Scholar 

  9. Minagi H, Gronner AT (1969) Calcification of the posterior longitudinal ligament: A cause of cervical myelopathy. AJR 105:365

    Google Scholar 

  10. Mitsui H, Sonozaki H, Juji T, Kabata K (1979) Ankylosing spinal hyperostosis (ASH) and ossification of the posterior longitudinal ligament (OPLL). Arch Orthop Traum Surg 94:21

    Google Scholar 

  11. Naffziger HC, Inman V, Saunders JB de CM (1938) Lesions of the intervertebral disc and ligamenta flava. Surg Gynecol Obstet 66:288

    Google Scholar 

  12. Nathan H (1959) The para-articular process of the thoracic vertebrae. Anat Rec 133:605

    Google Scholar 

  13. Nathan H (1962) Osteophytes of the vertebral column. An anatomical study of their development according to age, race and sex with considerations as to their etiology and significance. J Bone Joint Surg [Am] 44:243

    Google Scholar 

  14. Nozaki H, Nagai T, Miura Y, Suzuki Y, Nasu T (1969) On the clinical findings of the ossification of the posterior longitudinal ligament, especially its combination with the ossification of the anterior longitudinal ligament. J West Pacific Orthop Ass 6:127

    Google Scholar 

  15. Onji Y, Akiyama H, Shimomura Y, Ono K, Hukuda S, Mizuno S (1967) Posterior paravertebral ossification causing cervical myelopathy. A report of 18 cases. J Bone Joint Surg [Am] 49:1314

    Google Scholar 

  16. Oppenheimer A (1938) Diseases of the apophyseal (interverteral) articulations. J Bone Joint Surg 20:285

    Google Scholar 

  17. Oppenheimer A (1942) Calcification and ossification of vertebral ligaments (spondylitis ossificans ligamentosa): Roentgen study of pathogenesis and clinical significance. Radiology 38:160

    Google Scholar 

  18. Rappaport ZH, Rovit R (1979) Ossification of the posterior longitudinal spinal ligament in association with anterior longitudinal ligament ankylosing hyperostosis: Case report. Neurosurgery 4:175

    Google Scholar 

  19. Resnick D, Niwayama G (1976) Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology 119:559

    Google Scholar 

  20. Resnick D, Shaul SR, Robins JM (1975) Diffuse idiopathic skeletal hyperostosis (DISH): Forestier's disease with extraspinal manifestations. Radiology 115:513

    Google Scholar 

  21. Resnick D, Guerra J, Robinson CA, Vint VC (1978) Association of diffuse idiopathic skeletal hyperostosis (DISH) and calcification and ossification of the posterior longitudinal ligament. AJR 131:1049

    Google Scholar 

  22. Shickikawa K, Tsujimoto M, Ota H (1972) Ankylosing spinal hyperostosis. Proceedings of the 12th Congress of the International Society of Orthopaedic Surgery. Excerpta Medica, Amsterdam, p 416

    Google Scholar 

  23. Terayama K (1979) Epidemiological study of the ossification of the posterior longitudinal ligament inside Japan (in Japanese). J Jpn Orthop Ass 53:1127

    Google Scholar 

  24. The Investigation Committee on OPLL of the Japanese Ministry of Public Health and Welfare (1981) The ossification of the posterior longitudinal ligament of the spine (OPLL). J Jpn Orthop Ass 55:425

    Google Scholar 

  25. Tsukimoto Y (1960) A case report. Autopsy of syndrome of compression of spinal cord owing to ossification within spinal canal of cervical spines (in Japanese). Nippon Geka Hokan 29:1003

    Google Scholar 

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Hukuda, S., Mochizuki, T., Ogata, M. et al. The pattern of spinal and extraspinal hyperostosis in patients with ossification of the posterior longitudinal ligament and the ligamentum flavum causing myelopathy. Skeletal Radiol 10, 79–85 (1983). https://doi.org/10.1007/BF00360789

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