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Updated: Jan 15, 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 POSTERIOR LONGITUDINAL LIGAMENT: A CASE REPORT AND LITERATURE REVIEW
I Lebedev1, E Zakharchuk2, Y Boldyreva3
11Department of Osteopathy and Traditional Medicine, Tyumen State Medical University, Russia.
Ossification of the posterior longitudinal ligament (OPLL) is a rare condition. This case highlights a fracture of ossified posterior longitudinal ligament in cervical spine injury, emphasizing the need for more research.
Area of Science:
- Orthopedics
- Neurosurgery
- Spinal Surgery
Background:
- Ossification of the posterior longitudinal ligament (OPLL) is a rare spinal pathology.
- It presents diagnostic and treatment challenges due to limited literature.
- OPLL can lead to serious neurological deficits.
Purpose of the Study:
- To report a rare case of OPLL fracture with cervical spine injury.
- To review the literature on etiology, pathogenesis, and clinical presentation of OPLL.
- To discuss diagnostic and treatment strategies, including surgical options for OPLL.
Main Methods:
- Presentation of a clinical case involving a fracture of the ossified posterior longitudinal ligament.
- Comprehensive review of scientific literature and periodicals concerning OPLL.
- Analysis of diagnostic findings and treatment approaches for OPLL.
Main Results:
- Detailed description of a unique case of OPLL fracture in a patient with cervical trauma.
- Synthesis of current knowledge on OPLL's clinical presentation and diagnostic modalities.
- Discussion of conservative and surgical management tactics for OPLL.
Conclusions:
- Fractures of the ossified posterior longitudinal ligament are exceptionally rare.
- Further case accumulation and analysis are crucial for understanding and managing OPLL.
- This study contributes valuable insights for clinicians managing OPLL patients.
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