caa a22 4500 445833467 CHVBK 20180317145323.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-010-1538-z doi (NATIONALLICENCE)springer-10.1007/s00586-010-1538-z Simultaneous ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum causing upper thoracic myelopathy in DISH: case report and literature review [Elektronische Daten] [Qunfeng Guo, Bin Ni, Jun Yang, Zhuangchen Zhu, Jian Yang] A rare case of a 44-year-old Chinese male with diffuse idiopathic skeletal hyperostosis (DISH) and simultaneous ossification of the posterior longitudinal ligament (OPLL) and ossification of the ligamentum flavum (OLF) at T1-2 causing thoracic myelopathy is reported herein. Posterior decompression without extirpating the OPLL was performed at T1-2. Postoperatively, symptoms were greatly improved, with remaining hyperreflexia and Grade 4/5 muscle strength in the lower extremities. The Japanese Orthopedic Association score improved from 5 preoperatively to 9 at final follow-up. The presence of a cyst due to leakage of cerebrospinal fluid was confirmed by MRI at day 27, but it resolved after conservative management. The clinical manifestation of DISH, the relationship among DISH, OPLL, and OLF, and management of thoracic myelopathy due to OPLL and OLF were reviewed. Springer-Verlag, 2010 Diffuse idiopathic skeletal hyperostosis nationallicence Ossification of the posterior longitudinal ligament nationallicence Ossification of the ligamentum flavum nationallicence Upper thoracic nationallicence Myelopathy nationallicence Guo Qunfeng Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, 200003, Shanghai, People's Republic of China aut Ni Bin Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, 200003, Shanghai, People's Republic of China aut Yang Jun Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, 200003, Shanghai, People's Republic of China aut Zhu Zhuangchen Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, 200003, Shanghai, People's Republic of China aut Yang Jian Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, 200003, Shanghai, People's Republic of China aut European Spine Journal Springer-Verlag 20(2011-07-01), 195-201 0940-6719 20<195 2011 20 586 https://doi.org/10.1007/s00586-010-1538-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1538-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Guo Qunfeng Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, 200003, Shanghai, People's Republic of China aut NATIONALLICENCE 700 1- Ni Bin Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, 200003, Shanghai, People's Republic of China aut NATIONALLICENCE 700 1- Yang Jun Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, 200003, Shanghai, People's Republic of China aut NATIONALLICENCE 700 1- Zhu Zhuangchen Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, 200003, Shanghai, People's Republic of China aut NATIONALLICENCE 700 1- Yang Jian Department of Orthopedics, Changzheng Hospital, The Second Military Medical University, 415 Fengyang Road, Huangpu District, 200003, Shanghai, People's Republic of China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 195-201 0940-6719 20<195 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer