Ossification of the ligamentum flavum in a Caucasian man: Case report

Risheng Xu, Daniel M. Sciubba, Ziya L. Gokaslan, Ali Bydon

Research output: Contribution to journalArticlepeer-review


Abnormal ossification of spinal ligaments is a well-known cause of myelopathy in East Asian populations, with ossification of the ligamentum flavum (OLF) and the posterior longitudinal ligament being the most prevalent. In Caucasian populations, OLF is rare, and there has been only 1 documented case of the disease affecting more than 5 spinal levels. In this report, the authors describe the clinical presentation, imaging characteristics, and management of the second published case of a Caucasian man with OLF affecting almost the entire thoracic spine. The literature is then reviewed with regard to OLF epidemiology, pathogenesis, presentation, and treatment.

Original languageEnglish (US)
Pages (from-to)427-437
Number of pages11
JournalJournal of Neurosurgery: Spine
Issue number5
StatePublished - Nov 1 2008


  • Instrumented fusion
  • Laminectomy
  • Ligamentum flavum
  • Myelopathy
  • Ossification
  • Thoracic spine

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology


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