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Updated: Jul 11, 2025

Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum TOLF Using Ultrasonic and Conventional Osteotomes
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Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum TOLF Using Ultrasonic and Conventional Osteotomes

Published on: April 21, 2023

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Cervico-thoracic Morel-Lavallée lesion

Andrew James Hughes1, Vinay Mathew Joseph2, Kunal Roy2

  • 1Trauma and Orthopaedics, Cwm Taf Morgannwg University Health Board, Abercynon, UK drandrewjhughes@gmail.com.

BMJ Case Reports
|November 17, 2023
PubMed

Morel-Lavallée lesions (MLLs) result from high-energy trauma causing separation of subcutaneous tissue from the underlying tissue, most commonly in the gluteal region or thigh.We report the case of a woman in her 40s with a fluctuant collection of the cervico-thoracic region following trauma. Further imaging identified an MLL. An orthoplastic approach resulted in non-operative management with a spinal brace. Three months from initial injury, the lesion completely resolved. She was symptom free at final follow-up and discharged.We present the only recorded case of MLL developing in the cervico-thoracic region. Management posed difficultly as no literature currently exists. We demonstrated conservative management for cervico-thoracic MLL can be effective.We have described the first documented case of cervico-thoracic MLL. MLL is not exclusive to pelvic injuries and can develop in the cervico-thoracic region. We have shown conservative management is a viable treatment of atypical MLL.

Keywords:
Orthopaedic and trauma surgeryPlastic and reconstructive surgeryRadiology

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