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CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(03): 485-488
DOI: 10.1055/s-0042-1757214
Case Report

Surgical Intervention of Dysphagia Caused by Ossification of Anterior Longitudinal Ligament: A Case Report

Duc Duy Tri Tran
1   Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam
2   Department of Neurosurgery, Xuyen A Hospital, Ho Chi Minh City, Vietnam
,
Quoc Bao Nguyen
1   Department of Neurosurgery, Hue University Hospital, Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam
,
Van Tri Truong
3   Division of Orthopedics, Central Hospital of University of Montreal, University of Montreal, Montreal, Canada
4   Department of Neurosurgery, Vinmec Central Park International Hospital, Vinmec Healthcare System, Ho Chi Minh city, Vietnam
,
Thai Duong Truong
2   Department of Neurosurgery, Xuyen A Hospital, Ho Chi Minh City, Vietnam
,
Quoc Vinh Do
2   Department of Neurosurgery, Xuyen A Hospital, Ho Chi Minh City, Vietnam
,
Duc Phong Vo
2   Department of Neurosurgery, Xuyen A Hospital, Ho Chi Minh City, Vietnam
› Author Affiliations Funding None.
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Abstract

Ossification of the anterior longitudinal ligament (OALL) in the cervical spine is a common entity but rarely causes dysphagia, dyspnea, and dysphonia. We report an OALL case which causes such symptoms. A 47-year-old female patient had a complaint of progressive difficulty swallowing for 2 months. A cervical X-ray and computerized tomography scan were taken afterward, which showed OALL at the C3–7 level. She then had esophageal endoscopy to rule out other dysphagia-related disorders. The patient underwent anterior osteotomy via anterior cervical approach with significant relief of dysphagia postoperatively. Surgical management in symptomatic OALL improves dysphagia and prevents its secondary complications.

Keywords

ossification of the anterior longitudinal ligament (OALL) - diffuse idiopathic skeletal hyperostosis (DISH) - dysphagia - cervical


Publication History

Article published online:
08 October 2022

© 2022. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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