关键词: ankylosing spondylitis cervical osteophyte cervical spine ossification of the posterior longitudinal ligament ectopic ossification of the posterior longitudinal ligament

来  源:   DOI:10.3892/mi.2024.172   PDF(Pubmed)

Abstract:
The present study reports the case of a 50-year-old obese male with ankylosing spondylitis, Scheuermann\'s kyphosis. The patient was asymptomatic concerning the ectopic ossification of the posterior longitudinal ligament (OPLL) at the cervical spine; he developed quadriparesis and respiratory insufficiency following minor head trauma. Even though trauma to the cervical spine in patients with OPLL is common, to the best of our knowledge, this is the first reported case of an extensive osteophyte with a lethal outcome after syncope. In rare occasions, it may be present with syncope and potentially lethal outcomes, particularly when precipitated by trauma. Therefore, the management of OPLL with significant canal stenosis should not be unnecessarily delayed.
摘要:
本研究报告了一名50岁肥胖男性患有强直性脊柱炎的病例,Scheuermann的后凸畸形.该患者无症状于颈椎后纵韧带(OPLL)异位骨化;他在轻微的头部外伤后出现四肢瘫痪和呼吸功能不全。尽管OPLL患者的颈椎创伤很常见,据我们所知,这是第一例报告的广泛骨赘,晕厥后致命的结果。在极少数情况下,它可能存在晕厥和潜在的致命结果,特别是当创伤沉淀时。因此,不应不必要地延迟严重椎管狭窄的OPLL治疗.
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