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International Orthopaedics

, Volume 43, Issue 4, pp 797–805 | Cite as

Ossification of the posterior longitudinal ligament in the cervical spine: a review

  • Barrett S. Boody
  • Mayan LendnerEmail author
  • Alexander R. Vaccaro
Review Article

Abstract

Ossification of the posterior longitudinal ligament (OPLL) is a rare pathologic process of lamellar bone deposition that can result in spinal cord compression. While multiple genetic and environmental factors have been related to the development of OPLL, the pathophysiology remains poorly understood. Asymptomatic patients may be managed conservatively and patients with radiculopathy or myelopathy should be considered for surgical decompression. Multiple studies have demonstrated the morphology and size of the OPLL as well as the cervical alignment have significant implications for the appropriate surgical approach and technique. In this review, we aim to address all the available literature on the etiology, history, presentation, and management of OPLL in an effort to better understand OPLL and give our recommendations for the treatment of patients presenting with OPLL.

Keywords

Ossification Posterior longitudinal ligament Cervical Spine 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  1. 1.Rothman InstitutePhiladelphiaUSA

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