범발성 특발성 골 과골증 환자에서 동반된 흉추부 황색인대 골화증 = 증례 보고

국문 초록 (Abstract)

범발성 특발성 골 과골증은 특이 치료법이 없는 질환으로 알려져 있고, 임상 증상은 없는 경우가 많지만 과골 현상이 척추 신경 부위에서 발생하는 경우 그 과골에 의한 척추 신경의 압박 위치에 따라 신경근 병증, 척수병증, 또는 복합된 양상을 나타낸다. 저자들은 범발성 특발성 골 과골증 환자에서 발생한 흉추부 결절성 황색인대 골화증으로 진행성 하반신 마비 증상이 발현되어 수술적 치료를 시행하고, 장기 추시가 가능하였던 환자를 보고하는 바이다.

다국어 초록 (Multilingual Abstract)

Diffuse idiopathic skeletal hyperostosis (DISH), which is also known as Forestier's disease, is an idiopathic rheumatological abnormality in which extensive ossification occurs along the ligaments throughout the body, most notably in the anterior longitudinal ligament of the spine, and frequently in the posterior longitudinal ligament or ligamentum flavum. Ossification of the ligamentum flavum (OLF) causes narrowing of the spinal canal and cord compression. Radiculopathy, myelopathy or combined neurological alterations can be elicited as a result of ossification. We performed a long-term follow-up of a case progressive myelopathy caused by nodular ossification of the ligamentum flavum in a patient with DISH, who was treated with a posterior decompressive laminectomy and the removal of the ossified ligamentum flavum.

목차 (Table of Contents)

• 증례 보고
• 고찰
• 참고문헌
• 국문초록

참고문헌 (Reference)

• 1 F Polgar, "Uber interarkuelle Wirbelverkalkung" 40 : 292-298, 1929
• 2 K Okada, "Thoracic myelopathy caused by ossification of the ligamentum flavum; clinicopathologic study and surgical treatment" 16 : 280-287, 1991
• 3 S Hukuda, "The pattern of spinal and extraspinal hyperostosis in patients with ossification of the posterior longitudinal ligament and the ligamentum flavum causing myelopathy" 10 : 79-85, 1983
• 4 RR Sharma, "Spinal cord and cauda equina compression in 'DISH'" 49 : 148-152, 2001
• 5 J Forestier, "Senile ankylosing hyperostosis of the spine" 9 : 321-330, 1950
• 6 K Suzuki, "Long term follow-up of diffuse idiopathic skeletal hyperostosis in the cervical spine. Analysis of progression of ossification" 33 : 427-431, 1991
• 7 D Resnick, "Diffuse idiopathic skeletal hyperostosis (DISH). Diagnosis of bone and joint disorders with emphasis on articular abnormalities" Philadelphia, WB Saunders 1562-1602, 1988
• 8 MT Stechison, "Cervical myelopathy in diffuse idiopathic skeletal hyperostosis.Case report" 73 : 279-282, 1990
• 9 L Xiong, "CT and MRI characteristics of ossification of the ligamenta flava in the thoracic spine" 11 : 1798-1802, 2001