scholarly journals Repeated recurrence of thoracic spine stenosis following decompression alone for ossification of the ligamentum flavum: case report

2019 ◽  
Vol 30 (3) ◽  
pp. 332-336
Author(s):  
Abhijeet S. Barath ◽  
Osmond C. Wu ◽  
Mohit Patel ◽  
Manish K. Kasliwal
Keyword(s):  
Clinical Presentation ◽  
Ligamentum Flavum ◽  
Surgical Intervention ◽  
Review Of The Literature ◽  
Thoracic Myelopathy ◽  
Posterior Decompression ◽  
Instrumented Fusion ◽  
Intervertebral Level ◽  
Multiple Recurrences ◽  
Variable Clinical Presentation

Ossification of the ligamentum flavum (OLF) is a well-recognized but rare cause of thoracic myelopathy. Its subtle and variable clinical presentation often makes the diagnosis challenging. The treatment of symptomatic OLF requires surgical intervention, with the most common surgical procedure being a posterior decompression with or without instrumentation. Recurrence of ossification and stenosis after surgery is rare and usually occurs at the same intervertebral level. Multiple recurrences of ossification and stenosis are exceptionally rare. The authors report the case of OLF in a 60-year-old man who experienced recurrence of ossification and stenosis twice after posterior decompression surgeries alone. The patient was ultimately treated with revision decompression and instrumented fusion. The authors also present a pertinent review of the literature.

scholarly journals Microendoscopic Posterior Decompression for Treating Thoracic Myelopathy Caused by Ossification of the Ligamentum Flavum: Case Series

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 684
Author(s):  
Satoshi Baba ◽  
Ryutaro Shiboi ◽  
Jyunichi Yokosuka ◽  
Yasushi Oshima ◽  
Yuichi Takano ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Thoracic Spine ◽  
Rating Scale ◽  
Ligamentum Flavum ◽  
Case Series ◽  
Lumbar Spine Surgery ◽  
Thoracic Myelopathy ◽  
Posterior Decompression ◽  
Postoperative Hematoma ◽  
The Mean

Background and Objectives: Ossification of the ligamentum flavum (OLF) is a relatively common cause of thoracic myelopathy. Surgical treatment is recommended for patients with myelopathy. Generally, open posterior decompression, with or without fusion, is selected to treat OLF. We performed minimally invasive posterior decompression using a microendoscope and investigated the efficacy of this approach in treating limited type of thoracic OLF. Materials and Methods: Microendoscopic posterior decompression was performed for 19 patients (15 men and four women) with thoracic OLF with myelopathy aged between 35 to 81 years (mean age, 61.9 years). Neurological examination and preoperative magnetic resonance imaging (MRI) and computed tomography (CT) were used to identify the location and morphology of OLF. The surgery was performed using a midline approach or a unilateral paramedian approach depending on whether the surgeon used a combination of a tubular retractor and endoscope. The numerical rating scale (NRS) and modified Japanese Orthopedic Association (mJOA) scores were compared pre- and postoperatively. Perioperative complications and the presence of other spine surgeries before and after thoracic OLF surgery were also investigated. Results: Four midline and 15 unilateral paramedian approaches were performed. The average operative time per level was 99 min, with minor blood loss. Nine patients had a history of cervical or lumbar spine surgery before or after thoracic spine surgery. The mean pre- and postoperative NRS scores were 6.6 and 5.3, respectively. The mean recovery rate as per the mJOA score was 33.1% (mean follow-up period, 17.8 months), the recovery rates were significantly different between patients who underwent thoracic spine surgery alone (50.5%) and patients who underwent additional spine surgeries (13.7%). Regarding adverse events, one patient experienced dural tear, another experienced postoperative hematoma, and one other underwent reoperation for adjacent thoracic stenosis. Conclusion: Microendoscopic posterior decompression was applicable in limited type of thoracic OLF surgery including beak-shaped type and multi vertebral levels. However, whole spine evaluation is important to avoid missing other combined stenoses that may affect outcomes.

Percutaneous full endoscopic posterior decompression of thoracic myelopathy caused by ossification of the ligamentum flavum

2019 ◽  
Vol 28 (3) ◽  
pp. 492-501 ◽  
Author(s):  
Bo An ◽  
Xing-Chen Li ◽  
Cheng-Pei Zhou ◽  
Bi-Sheng Wang ◽  
Hao-Ran Gao ◽  
...  
Keyword(s):  
Ligamentum Flavum ◽  
Thoracic Myelopathy ◽  
Posterior Decompression

scholarly journals Asymptomatic Cholecystocolonic Fistula: A Diagnostic and Therapeutic Dilemma

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Nicola Antonacci ◽  
Giovanni Taffurelli ◽  
Riccardo Casadei ◽  
Claudio Ricci ◽  
Francesco Monari ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Preoperative Imaging ◽  
Diagnostic Tools ◽  
Review Of The Literature ◽  
Imaging Studies ◽  
Common Site ◽  
Biliary Tract Surgery ◽  
Cholecystocolonic Fistula ◽  
Multiple Episodes ◽  
Variable Clinical Presentation

Cholecystocolonic fistulas (CCF) are rare complications of gallstones with a variable clinical presentation. Despite modern diagnostic tools, cholecystocolonic fistulas are often asymptomatic and it is difficult to diagnose them preoperatively. Biliary-enteric fistulae have been found in 0.9% of patients undergoing biliary tract surgery. The most common site of communication of the fistula is the cholecystoduodenal (70%), followed by the cholecystocolic (10–20%), and the least common is the cholecystogastric fistula. Herein, we report a case of female patient with multiple episodes of acute recurrent cholangitis due to common bile duct and gallbladder stones in which preoperative imaging studies were negative for cholecystocolonic fistula that was incidentally discovered and treated during surgery and was appropriately treated. A review of the literature is reported too.

scholarly journals Osteomyelitis of the Patella in a 10-Year-Old Girl: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Matthias Sperl ◽  
Michael Novak ◽  
Daniela Sperl ◽  
Martin Svehlik ◽  
Georg Singer ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Female Patient ◽  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
Diagnostic Procedures ◽  
Long Bones ◽  
Review Of The Literature ◽  
Present Case Report ◽  
Variable Clinical Presentation

The incidence of osteomyelitis constantly declines. While the disease most commonly affects the long bones, involvement of the patella is rarely seen. Due to this rarity and the variable clinical presentation, diagnosis is often delayed. The present case report describes a 10-year-old female patient with a delayed diagnosis of patella osteomyelitis. The diagnostic procedures and the treatment regimen are described. Additionally, a detailed literature review of the available publications reporting osteomyelitis of the patella in children is presented.

Thoracic myelopathy secondary to ossified ligamentum flavum

1982 ◽  
Vol 56 (3) ◽  
pp. 448-450 ◽  
Author(s):  
Matthew F. Omojola ◽  
Erico R. Cardoso ◽  
Allan J. Fox ◽  
Charles G. Drake ◽  
Quentin J. Durward
Keyword(s):  
Computerized Tomography ◽  
Preoperative Diagnosis ◽  
Ligamentum Flavum ◽  
Surgical Intervention ◽  
Thoracic Myelopathy ◽  
Content Type ◽  
Compressive Myelopathy ◽  
Anatomic Localization ◽  
Fine Print

✓ The authors report a case of ossification of the ligamentum flavum at T-10 and T-11 associated with compressive myelopathy. Metrizamide myelography with computerized tomography allowed precise preoperative diagnosis and anatomic localization of the lesion. The patient had satisfactory and prompt improvement after surgical intervention.

scholarly journals Isolated pilomatricoma of the arm: A case and a review of the literature

2022 ◽  
Vol 13 (1) ◽  
pp. 86-88
Author(s):  
Sara Bouabdella ◽  
Afaf Khouna ◽  
Siham Dikhaye ◽  
Nada Zizi
Keyword(s):  
Head And Neck ◽  
Clinical Presentation ◽  
Surgical Excision ◽  
Upper Extremities ◽  
Rare Tumor ◽  
Basal Cells ◽  
Review Of The Literature ◽  
Hair Matrix ◽  
Low Incidence ◽  
Variable Clinical Presentation

Pilomatricoma is a relatively rare tumor of the skin derived from primitive basal cells of the epidermis that differentiate into hair matrix cells. These tumors appear as solitary, firm nodules, showing a normal to pearl white epidermis. Its most frequent locations are the head and neck, while involvement of the upper extremities is relatively uncommon. Herein, we present the case of a seventeen-year-old female with pilomatricoma of the arm and review the literature regarding pilomatricomas of the upper extremities. The diagnosis of pilomatricoma is confirmed histologically and its treatment is based on surgical excision. Because of the low incidence and variable clinical presentation, pilomatricoma is a tumor not commonly suspected preoperatively. This presentation may help clinicians to diagnose this entity more effectively and decrease the rate of misdiagnosis.

Microendoscopic posterior decompression for the treatment of thoracic myelopathy caused by ossification of the ligamentum flavum: a technical report

2015 ◽  
Vol 25 (6) ◽  
pp. 1912-1919 ◽  
Author(s):  
Satoshi Baba ◽  
Yasushi Oshima ◽  
Tomoyuki Iwahori ◽  
Yuichi Takano ◽  
Hirohiko Inanami ◽  
...  
Keyword(s):  
Ligamentum Flavum ◽  
Thoracic Myelopathy ◽  
Posterior Decompression ◽  
Technical Report
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