Pseudocystic degeneration of the lumbar ligamentum flavum: A little known entity

Journal of Spinal Disorders and Techniques

Volumn 17, Issue 5, 2004, Pages 395-400

  Wildi, Lukas M ^a   Kurrer, Michael O ^a   Benini, Arnaldo ^b   Weishaupt, Dominik ^a   Michel, Beat A ^a   Brühlmann, Pius ^a  

^a UNIVERSITY HOSPITAL ZURICH   (Switzerland)

^b SCHULTHESS CLINIC   (Switzerland)

Author keywords

Ligamentum flavum; Pseudocystic degeneration; Radiculopathy

Indexed keywords

ADULT; AGED; ARTICLE; BONE ATROPHY; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; HISTOLOGY; HUMAN; LIGAMENTUM FLAVUM; MALE; NERVE ROOT COMPRESSION; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; PSEUDOCYST; RADICULOPATHY; RETROSPECTIVE STUDY; SPINAL CORD DECOMPRESSION; SPINE INSTABILITY; VERTEBRAL CANAL; VERTEBRAL CANAL STENOSIS; BONE RADIOGRAPHY; COHORT ANALYSIS; CONTROLLED STUDY; DECOMPRESSION SURGERY; DEGENERATION; HISTOPATHOLOGY; HUMAN TISSUE; LUMBAR SPINE;

AGED; AGED, 80 AND OVER; CYSTS; DECOMPRESSION, SURGICAL; ELASTIC TISSUE; FEMALE; HUMANS; LIGAMENTUM FLAVUM; LOW BACK PAIN; LUMBAR VERTEBRAE; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; RADICULOPATHY; RECURRENCE; RETROSPECTIVE STUDIES; SPINAL CANAL; SPINAL NERVE ROOTS; SPINAL STENOSIS; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 12744260041     PISSN: 15360652     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.bsd.0000109837.59382.0e     Document Type: Article

References (36)

1. Viejo-Fuertes D, Liguoro D, Rivel J, et al. Morphologic and histologic study of the ligamentum flavum in the thoraco-lumbar region. Surg Radiol Anat. 1998;20:171-176.
2. Grifka J, Witte H, Schulze H, et al. The lumbar ligamentum flavum. Anatomic characteristics with reference to microdiscotomy. Z Orthop Ihre Grenzgeb. 1997;135:328-334.
3. Abdullah AF, Chambers RW, Daut DP. Lumbar nerve root compression by synovial cysts of the ligamentum flavum. J Neurosurg. 1984;60:617-620.
4. Freidberg SR, Fellows T, Thomas CB, et al. Experience with symptomatic spinal epidural cysts. Neurosurgery. 1994;34:989-993.
5. Howington JU, Connolly ES, Voorhies RM. Intraspinal synovial cysts: 10-year experience at the Ochsner Clinic. J. Neurosurg (Spine 2). 1999;91:193-199.
6. Kao CC, Winkler SS, Turner JH. Synovial cyst of spinal facet. J Neurosurg. 1974;41:372-376.
7. Lyons MK, Atkinson JLD, Wharen RE, et al. Surgical evaluation and management of lumbar synovial cysts: the Mayo Clinic experience. J Neurosurg (Spine I). 2000;93:53-57.
8. Nakayama S, Fujino H, Inomori S, et al. A case of a lumbar spinal synovial cyst located on the midline. No Shinkei Geka. 1998;26:717-722.
9. Onofrio BM, Mih AD. Synovial cysts of the spine. Neurosurgery. 1988;22:642-647.
10. Pendleton B, Carl B, Pollay M. Spinal extradural benign synovial or ganglion cyst: case report and review of the literature. Neurosurgery. 1983;13:322-326.
11. Sabo RA, Tracy PT, Weinger JM. A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment. J Neurosurg. 1996;85:560-565.
12. Baker JK, Hanson GW. Cyst of the ligamentum flavum. Spine. 1994;19:1092-1094.
13. Sweasy TA, Coester HC, Rawal H, et al. Ligamentum flavum hematoma. Report of two cases. J Neurosurg. 1992;76:534-537.
14. Bärlocher CB, Seiler RW. Vertebral erosion and a ligamentum flavum cyst. J Neurosurg. 2000;93:335.
15. Bloch J, Hawelski S, Benini A. Kyste du ligament jaune lombaire: description de 6 cas. Schweiz Med Wochenschr. 1997;127:728-732.
16. Savitz MH, Sachdev VP. Cyst of the ligamentum flavum: report of six cases. Neurosurgery. 1992;30:461-462.
17. Vernet O, Fankhauser H, Schnyder P, et al. Cyst of the ligamentum flavum: report of six cases. Neurosurgery. 1991;29:277-283.
18. Maresca L, Meland NB, Maresca C, et al. Ganglion cyst of the spinal canal. J Neurosurg. 1982;57:140-142.
19. Fukuyama S, Nakamura T, Ikeda T, et al. The effect of mechanical stress on hypertrophy of the lumbar ligamentum flavum. J Spinal Disord. 1995;8:126-130.
20. Postacchini F, Gumina S, Cinotti G, et al. Ligamenta flava in lumbar disc herniation and spinal stenosis. Light and electron microscopic morphology. Spine. 1994;19:917-922.
21. Okada A, Harata S, Takeda Y, et al. Age-related changes in proteoglycans of human ligamentum flavum. Spine. 1993;18:2261-2266.
22. Yoshida M, Shima K, Taniguchi Y, et al. Hypertrophied ligamentum flavum in lumbar spinal canal stenosis. Pathogenesis and morphologic and immunohistochemical observation. Spine. 1992;17:1353-1360.
23. D'Agostino AN, Mason MS, Quinn SF. Lumbar spinal stenosis and spondylosis associated with amyloid deposition in the ligamentum flavum. Clin Neuropathol. 1992;11:147-150.
24. Gagne F. Intraligamentary amyloid deposits in spinal canal stenosis. Can J Neurol Sci. 1995;22:164-167.
25. Honig S, Murali R. Spinal cord claudication from amyloid deposition. J Rheumatol. 1992;19:1988-1990.
26. Roche PH, Figarella-Branger D, Malca S, et al. Lumbar canal stenosis caused by amyloidosis of the yellow ligament. Neurochirurgie. 1999;45:91-97.
27. Gies U, Linke RP, Schachenmayr W. Amyloid deposits of immunohistochemically different classes in the ligamentum flavum in biopsies from patients with herniated discs of lumbar spinal stenosis. Clin Neuropathol. 1996;15:54-59.
28. Schrader PK, Grob D, Rahn BA, et al. Histology of the ligamentum flavum in patients with degenerative lumbar spinal stenosis. Eur Spine J. 1999;8:323-328.
29. Delamarter RB, Sherman JE, Carr J. Lumbar spinal stenosis secondary to calcium pyrophosphate crystals deposition (pseudogout). Clin Orthop. 1993;289:127-130.
30. Maruta K, Ichimura K, Matsui H, et al. Calcification inhibitors in human ligamentum flavum. J Orthop Res. 1993;11:92-103.
31. Yahia LH, Garzon S, Strykowski H, et al. Ultrastructure of the human interspinous ligament and ligamentum flavum. A preliminary study. Spine. 1990;15:262-268.
32. Baba H, Maezawa Y, Furusawa N, et al. The role of calcium deposition in the ligamentum flavum causing a cauda equina syndrome and lumbar radiculopathy. Paraplegia. 1995;33:219-223.
33. Furusawa N, Baba H, Maezawa Y, et al. Calcium crystal deposition in the ligamentum flavum of the lumbar spine. Clin Exp Rheumatol. 1997;15:641-647.
34. Miyasaka K, Kaneda K, Sato S, et al. Myelopathy due to ossification or calcification of the ligamentum flavum: radiologic and histologic evaluations. AJNR Am J Neuroradiol. 1984;4:629-632.
35. Ono K, Yonenobu K, Miyamoto S, et al. Pathology of ossification of the posterior longitudinal ligament and ligamentum flavum. Clin Orthop. 1999;359:18-26.
36. Al-Orainy IA, Kolawole T. Ossification of the ligamentum flavum. Eur J Radiol. 1998;29:76-82.