The CT and MR Appearance of concomitant Ligamentum Flavum and Posterior Longitudinal Ligament Ossification in the Cervical Spine:A Case Report

合併頸椎黃韌帶及後縱韌帶骨化在電腦斷層和磁振造影的影像學表現：病例報告

楊椒喬(Jiao-Chiao Yang) ； 黃金山(Jing-Shan Huang)

《中華放射線醫學雜誌》 28卷5期 (2003/10) Pp. 335-338

摘要

脊椎黃韌帶的骨化通常是發生在胸椎下段，極少發生在頸椎，而合併同時存在頸椎的黃韌帶及後縱韌帶之鈣化更是極為罕見，其通常會引起病人嚴重的頸髓病變。我們報告一57歲的女性病患，因為逐漸惡化的痙攣性步態，上肢肢體麻痺及感覺異常來求診，電腦斷層和磁振造影顯現一多節的頸椎黃韌帶及後縱韌帶骨化，經由兩階段的減壓融合手術，病人的臨床症狀得到極大的改善。我們將對病人的臨床表現和影像學作一個簡單的討論。

關鍵字

黃韌帶 ； 後縱韌帶骨化

並列摘要

Ossification of spinal ligaments, such as ossification of ligamenta flava (OLF) and ossification of posterior longitudinal ligament in the cervical spine, is not common and usually asymptomatic. Once cervical myelopathy and radiculopathy due to the OPLL, OLF or both, surgical managements are often required when conservative treatment is not effective. The diagnosis is based on computed tomographic (CT) scan or magnetic resonance (MR) imaging. The postoperative prognosis depends on the severity of the cervical myelopathy. We reported a 57-year-old female with concomitant OPLL and OLE in cervical spine and reviewed the literatures.

並列關鍵字

Ligamentum flavum ； Ossification ； Posterior longitudinal ligament