اﺳﺘﺨﻮاﻧﻲ ﺷﺪن ﻟﻴﮕﺎﻣﺎن ﻃﻮﻟﻲ ﺧﻠﻔﻲ ﺳﺘﻮن ﻓﻘـﺮات، ﮔﺰارش 7 ﻣﻮرد ﺑﻴﻤﺎري

Ossification of the Posterior Longitudinal Ligament, Report of Seven Casess

ﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﺑﻴﻤﺎﺭﻱ (Ossification of the Posterior Longitudinal Ligament) OPLL ﺑﻴﻤﺎﺭﻱ ﻧﺎﺩﺭﻱ ﺍﺳﺖ ﻛﻪ ﻣﻲ ﺗﻮﺍﻧﺪ ﺑﺎﻋـﺚ ﺍﻳﺠﺎﺩ ﻣﻴﻠـﻮﭘﺎﺗﻲ ﻭ ﻳﺎ ﺭﺍﺩﻳﻜﻮﻟﻮﭘﺎﺗﻲ ﺷﻮﺩ. ﺍﻳﻦ ﮔﺰﺍﺭﺵ ﺑﺮﺍﻱ ﻣﻌـﺮﻓﻲ OPLL ﺑﻪ ﻋﻨﻮﺍﻥ ﻳﻚ ﻋﻠﺖ ﻗﺎﺑﻞ ﺩﺭﻣﺎﻥ ﻣﻴﻠﻮﭘﺎﺗﻲ ﻛﻪ ﻣﻲ ﺗﻮﺍﻧﺪ ﺑﺎﻋﺚ ﺍﻳﺠﺎﺩ ﻧﺎﺗﻮﺍﻧﻲ ﻗﺎﺑﻞ ﺗﻮﺟﻪ ﺷﻮﺩ ﺑﻪ ﺍﻧﺠﺎﻡ ﺭﺳﻴﺪﻩ ﺍﺳﺖ. ﻣـﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﺗﻌﺪﺍﺩ ﺑﻴﻤﺎﺭ OPLL ﺗﻮﺳﻂ ﺗﻴﻢ ﺟﺮﺍﺣﻲ ﻣﺎ ﺗﺤﺖ ﺟﺮﺍﺣﻲ ﻗـﺮﺍﺭ ﮔﺮﻓﺘﻨﺪ. ﺩﺭ 6 ﻣﻮﺭﺩ OPLL ﺩﺭ ﮔﺮﺩﻥ ﻭ ﺩﺭ ﻳﻚ ﻣﻮﺭﺩ OPLL ﺩﺭ ﻧﺎﺣﻴﺔ ﺗﻮﺭﺍﺳﻴﻚ ﻗـﺮﺍﺭ ﺩﺍﺷﺖ. ﻫﻤﺔ ﺑﻴﻤﺎﺭﺍﻥ ﻗﺒﻞ ﺍﺯ ﻋﻤﻞ ﺗﺤﺖ ﺑﺮﺭﺳﻲ ﺑﺎﻟﻴﻨﻲ ﻭ ﻧﻴـﺰ ﺗﺼﻮﻳﺮ ﺑﺮﺩﺍﺭﻱ ﺑﺎ ﮔﺮﺍﻓﻲ ﺳﺎﺩﻩ، CT ﺍﺳﻜﻦ ﻭ MRI ﻗـﺮﺍﺭ ﮔـﺮﻓﺘﻨﺪ. ﻳﺎﻓﺘﻪ ﻫﺎ: ﭘﺲ ﺍﺯ ﺟﺮﺍﺣﻲ ﺑﻴﻤﺎﺭﺍﻧﻲ ﻛﻪ ﺭﺍﺩﻳﻜﻮﻟـﻮﭘﺎﺗﻲ ﺩﺍﺷﺘﻨﺪ ﻭ ﻳﺎ ﺁﻧﻬﺎﺋﻲ ﻛﻪ ﺯﻣﺎﻥ ﻛﻤﺘﺮﻱ ﺍﺯ ﻋﻼﺋﻤﺸﺎﻥ ﻣﻲ ﮔﺬﺷﺖ ﭘﺎﺳﺦ ﺑﻬﺘـﺮﻱ ﺑﻪ ﺩﺭﻣﺎﻥ ﺟﺮﺍﺣﻲ ﺩﺍﺷﺘﻨﺪ. ﻧﺘﻴﺠﻪ ﮔﻴـﺮﻱ: ﺗﺸﺨﻴﺺ ﺑﻪ ﻣﻮﻗﻊ ﻭ ﺍﻧﺠﺎﻡ ﺟﺮﺍﺣﻲ ﺑﺎ ﺍﻧﺘﺨﺎﺏ ﺭﻭﺵ ﺟﺮﺍﺣﻲ ﻣﻨﺎﺳﺐ ﺑﺎﻋﺚ ﺑﻬﺒـﻮﺩ ﻋﻤﻠﻜـﺮﺩ ﻧﻮﺭﻭﻟﻮﮊﻳﻚ ﺑﻴﻤﺎﺭﺍﻥ ﻭ ﺑﻬﺒﻮﺩ ﻛﻴﻔﻴﺖ ﺩﺭ ﺑﻴﻤﺎﺭﺍﻥ OPLL ﺧﻮﺍﻫﺪ ﺷﺪ. ﺑﻴﻤﺎﺭﺍﻧﻲ ﻛﻪ ﺯﻣﺎﻥ ﺯﻳﺎﺩﻱ ﺍﺯ ﻋﻼﺋﻢ ﺁﻧﻬﺎ ﻣﻲ ﮔـﺬﺭﺩ ﭘﺎﺳﺦ ﻛﻤﺘـﺮﻱ ﺑﻪ ﺩﺭﻣﺎﻥ ﺟﺮﺍﺣﻲ ﺧﻮﺍﻫﻨﺪ ﺩﺍﺷﺖ.

Introduction & Objective: Ossification of the posterior longitudinal ligament is a rare disease that can cause myelopathy or radiculopathy. This report is performed for presentation of OPLL as a treatable cause of a disabling condition, myelopathy. Materials & Methods: Seven patients with OPLL underwent surgery by neurosurgical team. Six patients had cervical and one patient had thoracic OPLL. All patients underwent clinical assessment and radiological evaluation with plain x-ray, CT scan and MRI preoperatively. Results: After surgery patient who had radiculopathy or short duration of symptoms had better response to operation. Conclusions: Early diagnosis and selection of best surgical approach will result in improvement of neurological function and better quality of life in OPLL patients. In the other hand patients who had prolonged duration of symptoms before surgery, had poor surgical results.