Radio-pathological Factors that Predict the Surgical Outcome of Ossification of Ligamentum flavum of Spine – Series of 31 Cases
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 7
Abstract
Introduction: Ossification of the Ligamentum flavum (OLF) is a pathological condition that affects the ligament and causes slowly progressive myeloradiculopathy in adults. Aim: To study the radiological and pathological factors that are predictive of the surgical outcome of patients with OLF. Materials and Methods: A prospective study of 31 consecutive patients, including 24 men and 7 women with a mean age of 50.45 years, was conducted from 2013 to 2016. Radio-pathological factors included are: Number of segments affected by OLF, Sato’s computed tomography–based classification, and the presence of intramedullary hyper-intensity on T2w magnetic resonance imaging and calcium pyrophosphate dihydrate (CPPD) crystal deposition (pseudogout). All cases underwent decompressive laminectomies. Specimen sent for polarized-light microscopic studies and analyzed for characteristic rod-shaped, birefringent CPPD crystals. Follow up done with a mean duration of 5 months. Recovery rate was calculated with pre-operative and post-operative “Modified Japanese Orthopedic Association” scoring system. Results: Recovery was excellent in 10 cases, good in 6 cases, fair in 12 cases, poor in 3 cases. The author conducted a review of literature in English, Japanese and Korean literature and compared their studies. Conclusion: Early and correct diagnosis is required to avoid poorer results. Long-term follow up needed to determine the factors that predict the surgical outcome. This study also shows how this disease is highly under-reported in India.
Authors and Affiliations
John Christopher, Chockaiah Raja, Heber Anandan
Keywords
Related Articles
- EP ID EP482319
- DOI -
- Views 118
- Downloads 0
Comparative Study on Safety and Efficacy of Low-Molecular-Weight Heparins with Unfractionated Heparins in the Management of Coronary Artery Disease in A Rural Tertiary Care Hospital
Introduction: Low-molecular-weight heparin (LMWH) fractions are prepared from standard unfractionated heparin (UFH) and are thus similar to UFH in many aspects. Aim: This study compares the safety and efficacy of LMWH wi...
Comparative Study of Patients Who Underwent Hemiarthroplasty of Hip by Anterolateral and Posterolateral Approach
Introduction: Fracture neck of femur is an extremely common fracture in the geriatric population (>60 years). Bipolar hip replacement can be done by anterolateral or posterolateral approach. Proponents of both approaches...
Incidence of Post-operative Pain in Single versus Multiple Visit Root Canal Treatment of Vital and Non-vital Single Rooted Teeth
Aim: The aim of the is to evaluate the incidence of Post-operative pain in Single versus Multiple visit Root Canal treatment of vital and non-vital single rooted teeth in Jammu population. Materials and Methods: 200 subj...
Knowledge, Attitude, and Practice of Ocular Topical Steroid Self-use in and Around Kishanganj, Bihar
Background: It has been observed that majority of rural patients attending eye outpatient department (OPD) in a tertiary care hospital at Kishanganj, Bihar, are in the habit of misusing steroid medications through self-m...
Clinico-etiological Study of Tinea Corporis: Emergence of Trichophyton mentagrophytes
Background: Tinea corporis is a superficial fungal infection of the glabrous skin of the trunk and extremities caused by closely related organisms of the three genera – Trichophyton, Microsporum, and Epidermophyton, coll...