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Updated: Jun 26, 2026

Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum (TOLF) Using Ultrasonic and Conventional Osteotomes
Published on: April 21, 2023
Ossification of the thoracic ligamentum flavum in an achondroplastic patient: a case report
K Suzuki1, M Kanamori, M Nobukiyo
1Department of Orthopaedic Surgery, University of Toyama, Sugitani, Toyama, Japan. suzukayo@med.u-toyama.ac.jp
Abstract:
We report a case of spinal stenosis with ossification of the thoracic ligamentum flavum in a 53-year-old man with achondroplasia. Neurological signs indicated flaccid paralysis below L1, and the patient was unable to walk. Ossification of the ligamentum flavum was observed at T4/5 and T9 to T12, compressing the thecal sac. Laminectomy of T9 to L1 was performed. At one-year follow-up, the patient was able to walk with one elbow crutch.
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