Iatrogenic Spinal Cord Injury during Removal of the Inferior Articular Process in the Presence of Ossification of the Ligamentum Flavum
Ossified ligamentum flavum (OLF) is a condition of heterotopic lamellar bone formation within the yellow ligament. Some patients with OLF can be asymptomatic. However, asymptomatic OLF may not be obvious on preoperative MRI and could increase the risk of iatrogenic injury during treatments for unrel...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/2318759 |
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| author | Shane M. Burke Steven W. Hwang Mina G. Safain Ron I. Riesenburger |
| author_facet | Shane M. Burke Steven W. Hwang Mina G. Safain Ron I. Riesenburger |
| author_sort | Shane M. Burke |
| collection | DOAJ |
| description | Ossified ligamentum flavum (OLF) is a condition of heterotopic lamellar bone formation within the yellow ligament. Some patients with OLF can be asymptomatic. However, asymptomatic OLF may not be obvious on preoperative MRI and could increase the risk of iatrogenic injury during treatments for unrelated spinal conditions. This report describes a case of spinal cord injury caused by the indirect transmission of force from an osteotome to an asymptomatic OLF during the resection of a thoracic inferior articular process (IAP). To prevent this outcome, we urge careful review of CT imaging in the preoperative setting and advocate the use of a high-speed drill instead of an osteotome during bone removal in the setting of an adjacent area of OLF. |
| format | Article |
| id | doaj-art-69b989f367d64413bf592271fdb999e7 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-69b989f367d64413bf592271fdb999e72025-02-03T06:12:14ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/23187592318759Iatrogenic Spinal Cord Injury during Removal of the Inferior Articular Process in the Presence of Ossification of the Ligamentum FlavumShane M. Burke0Steven W. Hwang1Mina G. Safain2Ron I. Riesenburger3Department of Neurosurgery, Tufts Medical Center, Boston, MA 02111, USADepartment of Neurosurgery, Tufts Medical Center, Boston, MA 02111, USADepartment of Neurosurgery, Tufts Medical Center, Boston, MA 02111, USADepartment of Neurosurgery, Tufts Medical Center, Boston, MA 02111, USAOssified ligamentum flavum (OLF) is a condition of heterotopic lamellar bone formation within the yellow ligament. Some patients with OLF can be asymptomatic. However, asymptomatic OLF may not be obvious on preoperative MRI and could increase the risk of iatrogenic injury during treatments for unrelated spinal conditions. This report describes a case of spinal cord injury caused by the indirect transmission of force from an osteotome to an asymptomatic OLF during the resection of a thoracic inferior articular process (IAP). To prevent this outcome, we urge careful review of CT imaging in the preoperative setting and advocate the use of a high-speed drill instead of an osteotome during bone removal in the setting of an adjacent area of OLF.http://dx.doi.org/10.1155/2016/2318759 |
| spellingShingle | Shane M. Burke Steven W. Hwang Mina G. Safain Ron I. Riesenburger Iatrogenic Spinal Cord Injury during Removal of the Inferior Articular Process in the Presence of Ossification of the Ligamentum Flavum Case Reports in Surgery |
| title | Iatrogenic Spinal Cord Injury during Removal of the Inferior Articular Process in the Presence of Ossification of the Ligamentum Flavum |
| title_full | Iatrogenic Spinal Cord Injury during Removal of the Inferior Articular Process in the Presence of Ossification of the Ligamentum Flavum |
| title_fullStr | Iatrogenic Spinal Cord Injury during Removal of the Inferior Articular Process in the Presence of Ossification of the Ligamentum Flavum |
| title_full_unstemmed | Iatrogenic Spinal Cord Injury during Removal of the Inferior Articular Process in the Presence of Ossification of the Ligamentum Flavum |
| title_short | Iatrogenic Spinal Cord Injury during Removal of the Inferior Articular Process in the Presence of Ossification of the Ligamentum Flavum |
| title_sort | iatrogenic spinal cord injury during removal of the inferior articular process in the presence of ossification of the ligamentum flavum |
| url | http://dx.doi.org/10.1155/2016/2318759 |
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