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  3. Ossification of the posterior longitudinal ligament

Ossification of the posterior longitudinal ligament

Findings:
Global type cervical kyphosis.
Spondylodegenerative changes, seen as marginal osteophytes, decreased height of intervertebral discs and irregular end-plates.
Irregular lineal calcification at the posterior vertebral body border occupying the anterior zone of the cervical spinal canal, consistent with ossification of posterior longitudinal ligament.
Consequential moderate central canal stenosis.
Additional osteoarthritis of the facet joints under uncovertebral joints with moderate to high-grade neural exit foraminal stenosis at C3/4, C5/6 and C6/7 bilaterally, more pronounced at C3/4 and the left side.

Dear imaged the imaged brain is unremarkable. The orbits, the paranasal sinuses and the mastoid air cells are clear.
Moderate atherosclerotic changes are seen at carotid bifurcations bilaterally.
The lung apices are normal.

Conclusion:
Known ossification of posterior longitudinal ligament (OPLL) with moderate central canal stenosis in the whole cervical spine. Additional spondylodegenerative changes with moderate to high-grade neural exit foraminal stenosis at C3/4, C5/6 and C6/7 bilaterally, more pronounced at C3/4 and the left side.

Updated on 11. April 2023

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About the author

Dr Sara Mohebbi is a Consultant Radiologist (Facharzt für Radiologie) with sub-specialty training in neuroradiology. She served as Chief Resident at University Hospital Freiburg and is a member of the European Society of Radiology (ESR). Her clinical focus includes demyelinating disease, neuro-oncology, and vascular neuroimaging. Dr Mohebbi is the Clinical Lead at Radiology Prime, where she provides independent second opinion reports on brain and spine MRI.