Anterior cervical subtotal resection and fusion for the treatment of cervi-cal spondylotic myelopathy secondary to young posterior longitudinal lig-ament ossification:a case report and literature review
Cervical posterior longitudinal ligament ossification(OPLL)refers to a degenerative disease of the cervical spine characterized by ectopic ossification of the posterior longitudinal ligament,which compresses the spinal cord and nerve roots,causing neurological symptoms such as limb weakness,numbness,difficulty walking,and even paralysis.It is one of the im-portant causes of spinal cord compression.The cause of the disease is complex and the mechanism is not yet clear.At pre-sent,there is no specific drug to prevent the progression of ossification.Surgery is the most direct and effective method for patients with combined cervical spondylotic myelopathy(CSM).The surgical methods include anterior cervical approach,posterior cervical approach,and anterior posterior combined approach.There is still significant debate on which surgical ap-proach is the best treatment method.This article reports a case of a young patient with multiple levels of OPLL of the cervical spine and secondary cervical spondylotic myelopathy(CSM),and explores its etiology,pathogenesis,and surgical approach selection.The patient's main symptoms include neck and shoulder pain accompanied by weakness in the right upper limb,pain radiating to the right upper limb,and muscle atrophy in the right upper limb.After the final discussion,anterior cervical corpectomy and fusion(ACCF)was performed,and the postoperative recovery of the patient was satisfactory.Therefore,the following report is provided as a reference for clinical practice.
Ossification of posterior longitudinal ligamentCervical spondylotic myelopathyYoung typeEtiologyPatho-genesisSurgical treatment
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