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:: Volume 19, Issue 3 (Bimonthly 2015) ::
Feyz 2015, 19(3): 265-270 Back to browse issues page
Ossification of posterior longitudinal ligament or disc herniation? A diagnostic challenge
Giv Sharifi, Zahra Yaghoubi *, Mohammad Hosein Afdjei
Iran University of Medical Sciences , zahra230@yahoo.com
Abstract:   (4456 Views)

Background: Ossification of the posterior longitudinal ligament (OPLL) of the spine is a rare disease with unknown pathology among white population. The disease occurs predominantly in the cervical spine and can cause spinal-cord compression. There is a wide variety of possible neurological signs depending on the amount of pressure on the spinal cord. The progress of the disease is slow and often without neurological symptoms. Different surgical approaches are used depends on the type of involvement. This study reports a patient with this rare syndrome in the east Azerbaijan province.

Case Report: A 45-year-old farmer with the diagnosis of disc herniation in the C3-C5 segments had radiculopathy symptoms for many years. Various physical therapy sessions along with drug treatment had no optimal improvement. Ultimately, surgery was performed by aggravation of the disease symptoms and during the surgery it was found that patient had OPLL syndrome.

Conclusion: Although this syndrome is rare, it should be considered in differential diagnosis of spinal cord compression involvements and its subsequent neurological symptoms.

Keywords: Ossification, Posterior longitudinal ligament, Myelopathies, Radiculopathy, physical therapy techniques
Full-Text [PDF 239 kb]   (4172 Downloads)    
Type of Study: case report | Subject: medicine, paraclinic
Received: 2015/07/22 | Accepted: 2015/07/22 | Published: 2015/07/22
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Sharifi G, Yaghoubi Z, Afdjei M H. Ossification of posterior longitudinal ligament or disc herniation? A diagnostic challenge. Feyz. 2015; 19 (3) :265-270
URL: http://feyz.kaums.ac.ir/article-1-2714-en.html

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Volume 19, Issue 3 (Bimonthly 2015) Back to browse issues page
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