Cauda Equina Syndrome due to Lumbar Ossification of the Posterior Longitudinal Ligament: A Case Report.
10.4184/jkss.2016.23.1.36
- Author:
Min Woo KIM
1
;
Kyu Yeol LEE
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Dong A University, Korea. gylee@dau.ac.kr
- Publication Type:Case Report
- Keywords:
Cauda equina syndrome;
Ossification of posterior longitudinal ligament
- MeSH:
Cauda Equina*;
Early Diagnosis;
Female;
Humans;
Laminectomy;
Longitudinal Ligaments*;
Lower Extremity;
Middle Aged;
Neurologic Manifestations;
Ossification of Posterior Longitudinal Ligament;
Polyradiculopathy*;
Radiography
- From:Journal of Korean Society of Spine Surgery
2016;23(1):36-40
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: A case report. OBJECTIVES: To report a rare case of cauda equina syndrome due to lumbar ossification of the posterior longitudinal ligament (OPLL). SUMMARY OF LITERATURE REVIEW: Lumbar OPLL with neurologic symptoms is very rare. MATERIALS AND METHODS: A 49-year-old female had experienced weakness in both lower extremities and radiating pain for 1 day prior to presentation. Simple radiography and CT showed OPLL at the L1-L2 level. We performed a total laminectomy and posterolateral fusion at the L1-L2 level using a posterior approach. RESULTS: After treatment, the patient showed improvement of symptoms and is currently living without discomfort. CONCLUSIONS: Cauda equina syndrome due to lumbar OPLL is rare; however, rapid neurologic recovery can be achieved through early diagnosis and surgery.
