BACKGROUND We report the first prospective sonoanatomic study in neonates with the aim to perform ultrasonographic-guided epidural catheter placement in this age group. METHOD One hundred forty-five neonates with a body weight < or =4 kg (0.53-4 kg) were included in this prospective study. The study was divided into 3 consecutive parts. In the first part, the neuraxial sonoanatomy of 60 neona...

Objective. Structures such as ligamentum flavum, annulus, and lamina play an important role in the segmental function. We proposed the surgical technique for achieving the sufficient preservation of segmental structures, in spite of sufficient removal of pathologic disc in the L5-S1 using the ligamentum flavum splitting and sealing technique. Methods. We retrospectively analyzed 80 cases that u...

OBJECTIVE A detailed investigation of the gross and microscopic anatomy of ligamentum flavum. METHODS Material included 14 lumbar vertebral columns obtained from the Anatomy Department, King Faisal University, Dammam during the period between January 2005 and January 2006. Height, width, and thickness of ligamenta flava were measured. A microscopic study was also performed. Computed tomograph...

case presentation an 85 years old patient presented because of intractable right leg pain with minimal activities. she was diagnosed with significant right foraminal stenosis and she failed conservative non-invasive therapies. conclusions percutaneous lumbar hydro decompression can be a promising method for the treatment of the patients with lumbar spinal stenosis and neurogenic claudication se...

OBJECTIVE To investigate the histopathological and immunohistochemical properties of degenerative changes in the ligamentum flavum of the cervical spine with calcium crystal deposition. METHODS Sections of the calcified ligamentum flavum harvested from 26 patients who required cervical decompression were examined by scanning electron microscopy (SEM), energy dispersive X-ray microanalysis, im...

Neurological injury is a potential complication of anterior cervical discectomy (ACDF). Iatrogenic trauma, hypoxic-ischemic damage during surgery or epidural hematoma could cause neurologic deterioration after surgery. This is the first case being reported of neurologic deterioration after an anterior cervical discectomy due to ligamentum flavum buckling. The case illustrated an uncommon cause ...

PURPOSE To measure the effect of extension, flexion, lateral bending, and axial rotation loads applied to the spine on the anatomic relationship of the spinal nerves in the neural foramen to the ligamentum flavum and the intervertebral disk, anc to determine the effect of disk degeneration on the response to loading. METHODS Cadaveric lumbar motion segments were examined with CT and MR imagin...

The yellow ligament, or Ligamentum flavum, is the ligament that connects lamina arches of two adjacent vertebrae in spine [1,2]. This and has elasticity [3,4]. flavum ossification an uncommon cause pressure on cervical cord [3] [5-7]. commonly occurs thoracic which can myelopathic symptoms patient [8,9]. main this problem unknown, but it when soft tissue calcified causes narrowing spinal canal ...

BACKGROUND Previous studies have shown that if performed without radiographic guidance, the loss of resistance (LOR) technique can result in inaccurate needle placement in up to 30% of lumbar epidural blocks. To date, no study has shown the efficacy of measuring the depth of the posterior complex (ligamentum flavum, epidural space, and posterior dura) ultrasonographically to distinguish true an...

Calcification of Ligamentum Flavum (CLF) is an uncommon disorder. We present a 56-year-old patient with an acute inflammatory, febrile neck pain and higher value of ESR mimicking spine infection. The imaging investigations conclude for the diagnosis of calcification of the ligamentum flavum. Our observation illustrate the difficulties to differentiate, clinically, infection and calcium pyrophos...