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논문 기본 정보

자료유형
학술저널
저자정보
Masato Shiba (Mie University Graduate School of Medicine) Masaki Mizuno (Mie University Graduate School of Medicine) Keita Kuraishi (Mie University Graduate School of Medicine) Hidenori Suzuki (Mie University Graduate School of Medicine)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.9 No.1
발행연도
2015.2
수록면
106 - 109 (4page)

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There is no report that describes in detail the radiological and intraoperative findings of rickets with symptomatic cervical ossification of the posterior longitudinal ligament. Here, we describe a case of X-linked hypophosphatemic rickets with cervical ossification of the posterior longitudinal ligament presenting unique radiological and intraoperative findings. The patient presented progressive tetraparesis. Magnetic resonance imaging studies revealed severe cervical spinal cord compression caused by ossification of the posterior longitudinal ligament. Computed tomography scans revealed homogeneously increased vertebral bone density. An expansive laminoplasty was performed. At surgery, homogeneously hard lamina bone was burdened in drilling and opening of the laminae. The patient’s neurological symptoms were improved postoperatively. Bony fusion of the hinges occurred postoperatively. Therefore, expansive laminoplasty could be performed for symptomatic cervical ossification of the posterior longitudinal ligament with X-linked hypophosphatemic rickets. However, unusual bone characters should be taken into consideration for careful operation during surgery.

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