• Mo Li, Zili Wang, Junjie Du, Zhuojing Luo, and Zhe Wang.
• Department of Orthopaedics, Xijing Hospital, The Fourth Military Medical University, Shaanxi, China.
• J Spinal Disord Tech. 2013 Feb 1; 26 (1): E35-40.

Study DesignA retrospective clinical study of 19 cases of ossification of ligamentum flavum (OLF) in Chinese population.ObjectiveTo inspect the epidemiology, clinical presentation, pathology, radiologic findings, and treatment outcome in 19 Chinese patients of OLF at a single institution.Summary Of Background DataOLF in the thoracic region causing neurological impairment is a rare pathologic entity described mainly in Japanese literature. The present study represents a series of Chinese patients with OLF at the thoracic spine.MethodsNineteen patients (7 male and 12 female; ages ranging between 39 and 73 y) were included in this study. All patients have been treated by posterior thoracic extensive decompressive laminectomy. Neurological status was evaluated using the Japanese Orthopedic Association (JOA) score, the recovery rate, and the Oswestry Disability Index (ODI) before and after surgery. Patients' pain relief was evaluated using a visual analog scale (VAS) pain score.ResultsMean JOA score was 3.16±1.05 before surgery to 8.34±3.28 after surgery. Mean recovery rate was 61.4%±32.5%. Mean ODI scores had significantly decreased from 66.36%±10.91% before surgery to 25.45%±12.19% after surgery. The result of VAS score were 6.29±1.83 before the operation and 2.18±1.90 at final follow-up. All patients improved at the end of the evaluation period. There was no recurrence.ConclusionsEarly diagnosis and sufficient surgical treatment play key roles in improving functional outcomes. Posterior thoracic extensive decompressive laminectomy gives satisfactory results and leads to significant clinical improvement.

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