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Updated: Jul 14, 2026

Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum (TOLF) Using Ultrasonic and Conventional Osteotomes
Published on: April 21, 2023
Brown-Sequard syndrome caused by ossification of the ligamentum flavum
Pin-Yuan Chen1, Chin-Yew Lin, Wen-Ching Tzaan
1Department of Neurosurgery, Chang Gung University and Chang Gung Memorial Hospital, 222, Mai-Chin Road, Keelung 204, Taiwan, Republic of China. pinyuanc@adm.cgmh.org.tw
Abstract:
Ossification of the ligamentum flavum (OLF) commonly occurs in the thoracic and lumbar regions. We present a patient with OLF at the C4-5 level with presentation as Brown-Sequard syndrome. Symptoms were relieved following a laminectomy and total lesion excision. The relevant literature is reviewed to discuss the racial distribution, unique presentation and pathogenesis of OLF.
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