Cervical spondylotic myelopathy can result from degenerative cervical spondylosis, herniated disk material, osteophytes, redundant ligamentum flavum, or ossification of the posterior longitudinal ligament. Surgical intervention for multi-level myelopathy aims to decompress the spinal cord and maintain stability of the cervical spine. Laminoplasty was major surgical advancement as laminectomy re...

Spinal stenosis is caused by narrowing of the spinal canal or neural foramina producing root ischaemia and neurogenic claudication [1] . Stenosis of the spinal canal is most often caused by a combination of loss of disc space, osteophytes and a hypertrophic ligamentum flavum. Not all patients with narrowing develop symptoms. However, the narrowing may progress to cause compression of the spinal...

background & aim: lumbar spinal stenosis (lss) is a common condition. this congenital or acquired stenosis has multiple etiologies. the goal of this study was to describe intraoperative pathoanatomic findings of lumbar spinal stenosis observed within a black african population. methods & materials/patients: it was a retrospective and descriptive study performed at departmental teaching hospital...

rare clinical entity and the majority of these conditions are thought to result from rupture of the epidural vascular network. Hemorrhagic lumbar synovial cysts (1) and a hematoma occurring from the ligamentum flavum (2) or from a lumbar facet joint (3) have been reported as rare types of epidural hematoma. We report here on the radiologic and surgical findings of a case of chronic nontraumatic...

Ankylosing spondylitis poses several anesthetic challenges ranging from difficult airway to neuraxial blockade. Limited cervical spine mobility, restricted opening of the temporomandibular joint, and cardiorespiratory compromise makes anesthesia preferred technique in these patients. However due ossification interspinous ligament ligamentum flavum, also syndesmophytes between adjacent vertebrae...

Cervical cord compression in elderly patients is usually degenerative in origin. We report a case of cervical cord compression due to focal deposition of calcium pyrophosphate dihydrate (CPPD) crystals in the ligamentum flavum. A 76 year old woman presented with a 3 week history of severe neck pain associated with intermittent L’Hermitt’s type electric shock sensations down both arms. Over this...

Purpose. Incidental durotomy is a relatively common complication for patients undergoing posterior spinal surgery. Delineating anatomical variants in the posterior lumbar spinal canal is crucial in reducing future rates of incidental durotomy. Materials and Methods. The ligamentous attachments between the dura mater and ligamentum flavum in the lumbar region of 17 soft-fixed cadavers were inves...

BACKGROUND AND OBJECTIVES To assess the accuracy of the ultrasound (US) to predict the depth to reach lumbar intrathecal and epidural spaces in order to decrease the number of puncture attempts. METHODS Thirty-one patients (25 males and 6 females), ASA I or II participated in this study. The transversal ultrasound image of the lumbar spine was obtained at the level of the L3-L4 space. An anes...