Spontaneous Resolution of Cervical Ligamentum Flavum Calcification: Imaging Evolution on Serial MRI

Calcification of the ligamentum flavum (CLF) of the cervical spine is a rare but important cause of spinal cord compression. Although surgical decompression is the standard treatment for cases with cervical myelopathy, spontaneous resolution with conservative management has been reported. We present a case of a 69-year-old female with acute cervicobrachial pain and MRI findings of CLF at the C5 level, which resolved spontaneously on one-year follow-up MRI, supporting the potential for conservative management. Awareness of this phenomenon is important to avoid unnecessary surgical intervention.