Abstract

RICCIARDI, Guillermo A.; GARFINKEL, Ignacio; CARRIOLI, Gabriel  and  RICCIARDI, Daniel O.. Trauma medular cervical en pacientes con osificación del ligamento longitudinal posterior sin evidencia de fractura. Serie de casos y revisión bibliográfica. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.3, pp.324-334. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.3.1151.

Objectives: To present a case series of traumatic acute spinal cord injury associated with ossification of the cervical posterior longitudinal ligament (OPLL) without tomographic evidence of bone trauma and to perform a narrative review of the literature on its treatment and postoperative prognosis. Materials and Methods: We described a case series of patients with traumatic spinal cord injury and association of cervical OLLP, treated by our team during the period January 2012 - December 2019. We excluded patients with an association of vertebral fractures and/or dislocations, and those referred to another center before treatment and with incomplete records. Additionally, a narrative review of the literature on postoperative treatment and prognosis of this association was carried out. Ten articles were obtained with our search strategy for the narrative review. Results: A sample of 5 cases was formed, all males, with an average age of 62.2 ( ± 9.36), 4 cases were surgically treated by a posterior approach and 1 case was conservatively treated. Conclusion: We presented a case series of a rare association in our region, preceded only by an isolated case report. The review of the current literature suggests timely surgical treatment over conservative treatment, but controversies persist in this regard.

Keywords : Ossification; posterior longitudinal ligament; spinal cord injury; cervical trauma.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )