Tag Archive for: Cervical disc arthroplasty

Volume 3 | Issue 2 | October 2022-March 2023 | page: 47-50 | Jong-Beom Park

DOI: https://doi.org/10.13107/bbj.2022.v03i02.040

Authors: Jong-Beom Park [1]

[1] Department of Orthopaedic Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Address of Correspondence

Dr. Jong-Beom Park,
Department of Orthopaedic Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
E-mail: spinepjb@gmail.com

Abstract

Purpose: To report an extremely rare case of new development and progression of ossification of posterior longitudinal ligament (OPLL) after cervical disc arthroplasty (CDA).
Background: To our knowledge, new development and progression of ossification of OPLL after CDA have not been reported.
Methods: A 44-year-old female with cervical disc herniation at C5-6 presented with radiculopathy. The patient had no evidence of preexisting OPLL on plain radiographs and magnetic resonance imaging. She underwent CDR at C5-6 and her symptoms were significantly improved after surgery.
Results: New development of OPLL at C5-7-T1 was identified for the first time at 6 years after CDA at C5-6, and progression of OPLL was observed at 3 & 13 years’ follow-up. Due to new development and progression of OPLL, there was no segmental motion at C5-6 with CDA. The patient continued to follow up without further surgery because there was no deterioration in clinical symptoms.
Conclusion: Our study demonstrated an extremely rare case of new development and progression of OPLL after CDA with a long term follow-up. Our case suggests potential clues for discovering the complex pathological mechanism of OPLL.
Keywords: Ossification of the posterior longitudinal ligament, New development, Progression, Cervical disc arthroplasty

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