Ossification of Transverse Ligament of the Atlas Associated with Atlanto-axial Dislocation

—Case Report—

Takuro Hayashi, Yuichi Hirose, Masachika Sagoh, Hideki Murakami

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

A 68-year-old male presented with progressive spastic quadriparesis. Twelve years previously he had undergone anterior decompression with bone grafting for cervical ossification of the posterior longitudinal ligament associated with spinal trauma. Radiological examination showed ossification of the transverse ligament of the atlas (TLA) and severe stenosis of the upper cervical canal. Anterior dislocation of the atlas was also present, but the occiput/atlas/axis unit was perfectly stable due to the prior anterior fusion. Suboccipital decompression and laminectomy of the atlas were performed, and his symptoms improved. Based on the atlanto-axial dislocation, the TLA might have been damaged at the time of the primary trauma and became the trigger for the ossification of the TLA, showing that marked ossification of a vertebral ligament can occur after injury.

Original languageEnglish
Pages (from-to)425-428
Number of pages4
JournalNeurologia medico-chirurgica
Volume38
Issue number7
DOIs
Publication statusPublished - 01-01-1998

Fingerprint

Atlases
Ligaments
Osteogenesis
Decompression
Wounds and Injuries
Ossification of Posterior Longitudinal Ligament
Quadriplegia
Laminectomy
Muscle Spasticity
Bone Transplantation
Pathologic Constriction

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

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abstract = "A 68-year-old male presented with progressive spastic quadriparesis. Twelve years previously he had undergone anterior decompression with bone grafting for cervical ossification of the posterior longitudinal ligament associated with spinal trauma. Radiological examination showed ossification of the transverse ligament of the atlas (TLA) and severe stenosis of the upper cervical canal. Anterior dislocation of the atlas was also present, but the occiput/atlas/axis unit was perfectly stable due to the prior anterior fusion. Suboccipital decompression and laminectomy of the atlas were performed, and his symptoms improved. Based on the atlanto-axial dislocation, the TLA might have been damaged at the time of the primary trauma and became the trigger for the ossification of the TLA, showing that marked ossification of a vertebral ligament can occur after injury.",
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Ossification of Transverse Ligament of the Atlas Associated with Atlanto-axial Dislocation : —Case Report—. / Hayashi, Takuro; Hirose, Yuichi; Sagoh, Masachika; Murakami, Hideki.

In: Neurologia medico-chirurgica, Vol. 38, No. 7, 01.01.1998, p. 425-428.

Research output: Contribution to journalArticle

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