A Case of Acute Cauda Equina Syndrome for Combined Lumbar Ossification of the Posterior Longitudinal and Yellow Ligament

Kazumasa Nakamura; Yuichirou Yokoyama; Akihito Wada; Yasuhiro Inoue; Keiji Hasegawa; Shintaro Tsuge; Hiroshi Takahashi; Yasuaki Iida

doi:10.4236/ojo.2014.46024

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Open Journal of Orthopedics > Vol.4 No.6, June 2014

A Case of Acute Cauda Equina Syndrome for Combined Lumbar Ossification of the Posterior Longitudinal and Yellow Ligament ()

Kazumasa Nakamura, Yuichirou Yokoyama, Akihito Wada, Yasuhiro Inoue, Keiji Hasegawa, Shintaro Tsuge, Hiroshi Takahashi, Yasuaki Iida

Department of Orthopaedic Surgery, School of Medicine, Toho University, Tokyo, Japan.

DOI: 10.4236/ojo.2014.46024 PDF HTML XML 3,157 Downloads 3,783 Views

Abstract

Acute cauda equina syndrome is known as a symptom of lumbar disc herniation, but to date, there have been no reports of cases caused by lumbar vertebral ligament ossification. We encountered a 61-year-old female patient with acute cauda equina syndrome associated with lumbar vertebral OPLL and OLF. The symptoms were improved by emergency laminectomy. One year after the surgery, the disturbances of gait and urination have been resolved.

Keywords

Lumbar Spine, Ossification of the Yellow Ligament, Ossification of the Posterior Longitudinal Ligament, Cauda Equina Syndrome

Share and Cite:

Nakamura, K. , Yokoyama, Y. , Wada, A. , Inoue, Y. , Hasegawa, K. , Tsuge, S. , Takahashi, H. and Iida, Y. (2014) A Case of Acute Cauda Equina Syndrome for Combined Lumbar Ossification of the Posterior Longitudinal and Yellow Ligament. Open Journal of Orthopedics, 4, 145-149. doi: 10.4236/ojo.2014.46024.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Noda, M. (1996) Clinical Study of the Ossification of Posterior Longitudinal Ligament of the Lumbar Spine. Yamaguchi Medical Journal, 45, 59-70. (in Japanese)
[2]	Ahn, U.M., Ahn, N.U., Buchowski, J.M., Garrett, E.S., Sieber, A.N. and Kostuik, J.P. (2000) Cauda Equina Syndrome Secondary to Lumbar Disc Herniation A Meta-Analysis of Surgical Outcomes. Spine, 25, 1515-1522. http://dx.doi.org/10.1097/00007632-200006150-00010
[3]	Kostuik, J.P., Harrington, I., Alexander, D., Rand, W. and Evans, D. (1986) Cauda Equina Syndrome and Lumbar Disc Herniation. The Journal of Bone and Joint Surgery, 68A, 386-391.
[4]	Forestier, J. and Rotes-Querol, J. (1950) Senile Ankylosing Hyperostosis of the Spine. Annals of the Rheumatic Diseases, 9, 321-330. http://dx.doi.org/10.1136/ard.9.4.321
[5]	Resnick, D. and Niwayama, G. (1976) Radiographic and Pathologic Features of Spinal Involvement in Diffuse Idiopathic Skeletal Hyperostosis (DISH). Radiology, 119, 559-568.
[6]	Vezyroglou, G., Mitropoulos, A. and Antoniadis, C. (1996) A Metabolic Syndrome in Diffuse Idiopathic Skeletal Hyperostosis: A Controlled Study. The Journal of Rheumatology, 23, 672-676.
[7]	Kiss, C., Szilagyi, M., Paksy, A. and Poor, G. (2002) Risk Factor for Diffuse Idiopathic Skeletal Hyperostosis: A Case-Controlled Study. Ruematology (Oxford), 41, 27-30. http://dx.doi.org/10.1093/rheumatology/41.1.27
[8]	Sarzi-Puttini, P. and Atzeni, F. (2004) New Developments in Our Understanding of DISH (Diffuse Idiopathic Skeletal Hyperostosis). Current Opinion in Rheumatology, 16, 287-292. http://dx.doi.org/10.1097/00002281-200405000-00021
[9]	Denko, C.W. and Malemud, C.J. (2006) Body Mass Index and Blood Glucose: Correlations with Serum Insulin, Growth Hormone, and Insulin-Like Growth Factor-1 Levels in Patients with Diffuse Idiopathic Skeletal Hyperostosis (DISH). Rheumatology International, 26, 292-297. http://dx.doi.org/10.1007/s00296-005-0588-8
[10]	Denko, C.W., Boja, B. and Moskowitz, R.W. (1994) Growth Promoting Peptides in Osteoarthritis and Diffuse Idiopathic Skeletal Hyperostosis-Insulin, Insulin-Like Growth Factor-1, Growth Hormone. The Journal of Rheumatology, 21, 1725-1730.
[11]	Littlejohn, G.O. and Smythe, H.A. (1981) Marked Hyperinsulinemia after Glucose Challenge in Patients with Diffuse Idiopathic Skeletal Hyperostosis. The Journal of Rheumatology, 8, 965-968.
[12]	Houk, R.W., Hendrix, R.W., Lee, C., Lal, S. and Schmid, F.R. (1984) Cervical Fracture and Paraplegia Complicating Diffuse Idiopathic Skeletal Hyperostosis. Arthritis & Rheumatism, 27, 472-475. http://dx.doi.org/10.1002/art.1780270418
[13]	Yasumura, Y., Suetsuna, F., Todate, K., Ise, N. and Handa, A. (1996) Spinal Fracture Complicating Ankylosing Spinal Hyperostosis—Two Cases Report. Clinical Rheumatology, 8, 200-207. (in Japanese)
[14]	Mehara, H., Sakaguchi, Y. and Ogura, H. (2002) Chance Fracture of the Thoracic Spine with Delayed Paraplegia in a Patient with Ankylosing Spinal Hyperostosis: A Case Report. Seikeigeka, 53, 1543-1546. (in Japanese)
[15]	Yamada, H., Hirabayashi, S., Motosuneya, T., Kojima, J., Kobayashi, Y. and Sakai, H. (2007) Thoracic Spinal Instability at the Discontinuous Ossification of the Anterior Longitudinal Ligament in Patients with Diffuse Idiopathic Skeletal Hyperostosis: Report of Two Cases. Seikeigeka, 58, 525-529. (in Japanese)
[16]	Shigematsu, H., et al. (2009) Guidelines for Management of Peripheral Arterial Occlusive Diseases (JCS 2009). Circulation Journal, 73, 1507-1558.