E-ISSN 2534-9821
 

Case Report 


Management of Traumatic Central Cord Syndrome with Ossification of Posterior Longitudinal Ligament and Congenital Narrowing of Canal Stenosis: A case report

Harry Jonathan, Dohar Apul Lumban Tobing.

Abstract
Background. Ossification of the posterior longitudinal ligament (OPLL) is a time bomb cervical disease characterized as bony occupation in narrowed canal which frequently presenting no symptoms. Traumatic central cord syndrome (TCCS) is the most frequent incomplete neck injury. The symptoms include disproportionately greater motor deficit of upper limbs than lower limbs with varying degrees of sensory loss below the level of lesion, and sacral sparing with or without bladder involvement. TCCS is often associated with hyperextension injury of the cervical spine and might occur after minor trauma without bony injury in patients with preexisting pathology of cervical spondylosis (CS) or canal stenosis. This article reported a case of TCCS with OPPL and congenital narrowing of canal stenosis.
Method. We reported a case of man 55 years old with spinal cord injury central cord syndrome type with disproportionate paresis, congenital cervical canal stenosis, ossifications of posterior longitudinal ligament, and closed comminuted fracture of left clavicle. The patient underwent decompression surgery by laminoplasty on C3-C6 and open reduction with plate screw fixation on the left clavicle.
Results. One week post operation, patient felt improvement on upper and lower motor function with increased sensitivity.
Conclusion. Despite the controversies between surgery and conservative management regarding the treatment of cervical spine injuries with congenital canal stenosis and ossification of posterior longitudinal ligament, we found the decompression and laminoplasty giving positive result to patient.

Key words: traumatic central cord syndrome, ossification of posterior longitudinal ligament, congenital narrowing of canal stenosis, decompression, laminoplasty.


 
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Pubmed Style

Jonathan H, Tobing DAL, . Management of Traumatic Central Cord Syndrome with Ossification of Posterior Longitudinal Ligament and Congenital Narrowing of Canal Stenosis: A case report. doi:10.5455/IJMRCR.Management-Traumatic-Central-Cord-Syndrome


Web Style

Jonathan H, Tobing DAL, . Management of Traumatic Central Cord Syndrome with Ossification of Posterior Longitudinal Ligament and Congenital Narrowing of Canal Stenosis: A case report. http://www.mdpub.net/?mno=117144 [Access: June 16, 2021]. doi:10.5455/IJMRCR.Management-Traumatic-Central-Cord-Syndrome


AMA (American Medical Association) Style

Jonathan H, Tobing DAL, . Management of Traumatic Central Cord Syndrome with Ossification of Posterior Longitudinal Ligament and Congenital Narrowing of Canal Stenosis: A case report. doi:10.5455/IJMRCR.Management-Traumatic-Central-Cord-Syndrome



Vancouver/ICMJE Style

Jonathan H, Tobing DAL, . Management of Traumatic Central Cord Syndrome with Ossification of Posterior Longitudinal Ligament and Congenital Narrowing of Canal Stenosis: A case report. doi:10.5455/IJMRCR.Management-Traumatic-Central-Cord-Syndrome



Harvard Style

Jonathan, H., Tobing, D. A. L. & (2021) Management of Traumatic Central Cord Syndrome with Ossification of Posterior Longitudinal Ligament and Congenital Narrowing of Canal Stenosis: A case report. doi:10.5455/IJMRCR.Management-Traumatic-Central-Cord-Syndrome



Turabian Style

Jonathan, Harry, Dohar Apul Lumban Tobing, and . 2021. Management of Traumatic Central Cord Syndrome with Ossification of Posterior Longitudinal Ligament and Congenital Narrowing of Canal Stenosis: A case report. doi:10.5455/IJMRCR.Management-Traumatic-Central-Cord-Syndrome



Chicago Style

Jonathan, Harry, Dohar Apul Lumban Tobing, and . "Management of Traumatic Central Cord Syndrome with Ossification of Posterior Longitudinal Ligament and Congenital Narrowing of Canal Stenosis: A case report." doi:10.5455/IJMRCR.Management-Traumatic-Central-Cord-Syndrome



MLA (The Modern Language Association) Style

Jonathan, Harry, Dohar Apul Lumban Tobing, and . "Management of Traumatic Central Cord Syndrome with Ossification of Posterior Longitudinal Ligament and Congenital Narrowing of Canal Stenosis: A case report." doi:10.5455/IJMRCR.Management-Traumatic-Central-Cord-Syndrome



APA (American Psychological Association) Style

Jonathan, H., Tobing, D. A. L. & (2021) Management of Traumatic Central Cord Syndrome with Ossification of Posterior Longitudinal Ligament and Congenital Narrowing of Canal Stenosis: A case report. doi:10.5455/IJMRCR.Management-Traumatic-Central-Cord-Syndrome