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Diagnosis and Treatment of Ossification of the Posterior Longitudinal Ligament of the Spine:8 Cases and Lit Review
Am J Med 92:296-306, Trojan,D.A.,et al, 1992
See this aricle in Pubmed

Article Abstract
Similarities among non-Japanese and Japanese cases included:(1)male predominance;(2)peak age at onset of symptoms in the sixth decade;(3) clinical presentation,which ranged from asymptomatic to quadriplegia,with progressive or acute onset of neurologic deterioration;(4)greater than 95% localization to the cervical spine,spastic quadriparesis being the most common neurologic presentation;(5)an association with several rheumatic conditions including diffuse idiopathic skeletal hyperostosis(DISH), spondylosis,and alkylosing spondylitis;and(6)neurologic improvement with either conservative or surgical treatment in a significant proportion of patients.Differences between the two groups were minimal and included a higher mean age at onset(although onset in both groups occurred within the sixth decade)and a greater proportion of patients with DISH and with the continuous type of OPLL in the non-Japanese group.The clinical characteristics of OPLL are similar in Japanese and non-Japanese patients populations.Increased awareness of this condition,which has potentially devastating neurologic complications,will favorably influence diagnosis, treatment,and outcome.
 
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ankylosing spondylitis
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cervical spine
diffuse idiopathic skeletal hyperostosis
Japan
monoparesis
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MRI,spine
myelopathy
myelopathy,chronic progressive
neurologic disease,diagnoses of
posterior longitudinal ligament,ossification of
quadriparesis
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review article
spinal cord,compression of
spinal stenosis
spinal stenosis,cervical canal
spondylosis
treatment of neurologic disorder

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