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Case Reports
Ossification of the posterior atlantoaxial membrane and the transverse atlantal ligament.
- Naoki Shoda, Yorito Anamizu, Naoko Yonezawa, Hideaki Ishibashi, and Seizo Yamamoto.
- Orthopaedic Surgery Division, Yokohama Rosai Hospital, Yokohama City, Kanagawa, Japan. nshoda@tmgh.metro.tokyo.jp
- Spine. 2005 May 1; 30 (9): E248-50.
Study DesignCase report.ObjectiveTo report a case of ossification of the posterior atlantoaxial membrane (PAAM) and ossification of the transverse ligament of the atlas (TAL).Summary Of Background DataOssification of the PAAM and TAL are both very rare clinical entities. This is the first case involving ossification of both the PAAM and TAL with the development of cervical myelopathy.MethodsPatient's history, physical examination, radiographic evaluation, surgical treatment, and outcome are examined. Relevant literature is also reviewed.ResultsThe patient's neurological symptoms significantly improved after posterior decompressive surgery.ConclusionOssification of various parts of the spinal ligament have been reported previously. Among them, ossification of both the PAAM and TAL has never been reported previously and is thus extremely rare. Surgical intervention improved the neurological impairment.
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