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Kedar Chintapalli, MD

JAMA. 1985;253(15):2255-2257.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

History

A 32-year-old man presented with bilateral progressive paresthesia and numbness over a two-year period following a motor vehicle accident. He reported the recent onset of urinary incontinence. On examination, decrease in pain and sensation to touch and pinprick in both lower extremities, more marked on the left side, was elicited. The findings of electromyographic studies were consistent with involvement of the posterior primary rami at the T10-11 level.

Lateral roentgenograms of the thoracic spine showed a triangular bony density projecting into the spinal canal (open arrow) at the site of T10-11 (Fig 1). Low-dose metrizamide myelography with computed tomography (CT) was accomplished. The CT scans will be demonstrated subsequently.

An operative procedure was performed.

Diagnosis

Ossification of the ligamentum flavum at T10 through T12 causing myelopathy. A CT scan using low doses of metrizamide shows ossification of the ligamentum flavum (LF) (open arrows), compressing the spinal cord at T10-11 . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Radiology/114, Veterans Administration Medical Center, Wood, Wis; and the Medical College of Wisconsin, Milwaukee.

Footnotes
Reprint requests to Department of Radiology/ 114, Veterans Administration Medical Center, Wood, WI 53193 (Dr Chintapalli).

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