Case Report: Multilevel Ossification of the Ligamentum Flavum in a Patient With Spinal Osteoblastoma
IntroductionSpinal osteoblastomas are primary benign bone tumors most commonly presenting as diffuse back pain in young adults. Rarely, spinal osteoblastoma is associated with ossification of the ligamentum flavum (OLF), a form of ectopic bone formation, which can present with myelopathy. This repor...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.890965/full |
| _version_ | 1818218522424115200 |
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| author | Canada T. Montgomery Stephen P. Miranda Ernest Nelson Katie Louka MacLean Nasrallah Paul J. Zhang Joel Stein Dmitriy Petrov |
| author_facet | Canada T. Montgomery Stephen P. Miranda Ernest Nelson Katie Louka MacLean Nasrallah Paul J. Zhang Joel Stein Dmitriy Petrov |
| author_sort | Canada T. Montgomery |
| collection | DOAJ |
| description | IntroductionSpinal osteoblastomas are primary benign bone tumors most commonly presenting as diffuse back pain in young adults. Rarely, spinal osteoblastoma is associated with ossification of the ligamentum flavum (OLF), a form of ectopic bone formation, which can present with myelopathy. This report highlights a unique case of a patient with spinal osteoblastoma, associated OLF, and thoracic myelopathy.Case DescriptionThe patient presented with subtle myelopathy consisting of mid-thoracic back pain, paresthesias, and gait instability. Imaging findings were suggestive of spinal osteoblastoma with multifocal OLF. The patient was consented for thoracic decompression and stabilization at the T6-10 levels. Histopathology confirmed osteoblastoma with associated OLF. At follow up, the patient’s neurological symptoms had completely resolved.ConclusionThis case describes management for a rare presentation of osteoblastoma with associated OLF and myelopathy. Surgeons should be wary of disproportionate neurological compromise when spinal osteoblastoma is associated with OLF. Further study is required to elucidate the pathogenesis of this condition. |
| first_indexed | 2024-12-12T07:25:06Z |
| format | Article |
| id | doaj.art-b22566f9214a4bbaa75b71654efb74c4 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-12T07:25:06Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Surgery |
| spelling | doaj.art-b22566f9214a4bbaa75b71654efb74c42022-12-22T00:33:10ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-06-01910.3389/fsurg.2022.890965890965Case Report: Multilevel Ossification of the Ligamentum Flavum in a Patient With Spinal OsteoblastomaCanada T. Montgomery0Stephen P. Miranda1Ernest Nelson2Katie Louka3MacLean Nasrallah4Paul J. Zhang5Joel Stein6Dmitriy Petrov7University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United StatesDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Pathology, Stony Brook University Hospital, Stony Brook, New York, United StatesDepartment of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Pathology and Laboratory Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA, United StatesDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, United StatesIntroductionSpinal osteoblastomas are primary benign bone tumors most commonly presenting as diffuse back pain in young adults. Rarely, spinal osteoblastoma is associated with ossification of the ligamentum flavum (OLF), a form of ectopic bone formation, which can present with myelopathy. This report highlights a unique case of a patient with spinal osteoblastoma, associated OLF, and thoracic myelopathy.Case DescriptionThe patient presented with subtle myelopathy consisting of mid-thoracic back pain, paresthesias, and gait instability. Imaging findings were suggestive of spinal osteoblastoma with multifocal OLF. The patient was consented for thoracic decompression and stabilization at the T6-10 levels. Histopathology confirmed osteoblastoma with associated OLF. At follow up, the patient’s neurological symptoms had completely resolved.ConclusionThis case describes management for a rare presentation of osteoblastoma with associated OLF and myelopathy. Surgeons should be wary of disproportionate neurological compromise when spinal osteoblastoma is associated with OLF. Further study is required to elucidate the pathogenesis of this condition.https://www.frontiersin.org/articles/10.3389/fsurg.2022.890965/fullspinal osteoblastomaossification of the ligamentum flavummyelopathyneurosurgeryneurological compromise |
| spellingShingle | Canada T. Montgomery Stephen P. Miranda Ernest Nelson Katie Louka MacLean Nasrallah Paul J. Zhang Joel Stein Dmitriy Petrov Case Report: Multilevel Ossification of the Ligamentum Flavum in a Patient With Spinal Osteoblastoma Frontiers in Surgery spinal osteoblastoma ossification of the ligamentum flavum myelopathy neurosurgery neurological compromise |
| title | Case Report: Multilevel Ossification of the Ligamentum Flavum in a Patient With Spinal Osteoblastoma |
| title_full | Case Report: Multilevel Ossification of the Ligamentum Flavum in a Patient With Spinal Osteoblastoma |
| title_fullStr | Case Report: Multilevel Ossification of the Ligamentum Flavum in a Patient With Spinal Osteoblastoma |
| title_full_unstemmed | Case Report: Multilevel Ossification of the Ligamentum Flavum in a Patient With Spinal Osteoblastoma |
| title_short | Case Report: Multilevel Ossification of the Ligamentum Flavum in a Patient With Spinal Osteoblastoma |
| title_sort | case report multilevel ossification of the ligamentum flavum in a patient with spinal osteoblastoma |
| topic | spinal osteoblastoma ossification of the ligamentum flavum myelopathy neurosurgery neurological compromise |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.890965/full |
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