case_images: PMC5778726_01
case_images: T2-weighted sagittal section showing multilevel ossification of ligamentum flavum (arrows) causing cord compression at multiple levels in cervical and thorax spine
case_images: SNI-9-4-g002.jpg
case_images: PMC5778726_01_SNI-9-4-g002.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) scan of the spine showed multilevel OLF with marked spinal cord compression at the C4-C5 and T10-T11 levels [Figures 1-3].
case_images: T2-weighted axial section at T10-T11 level showing ossification of ligamentum flavum with severe spinal canal stenosis and cord compression (arrow)
case_images: SNI-9-4-g003.jpg
case_images: PMC5778726_01_SNI-9-4-g003.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) scan of the spine showed multilevel OLF with marked spinal cord compression at the C4-C5 and T10-T11 levels [Figures 1-3].
case_images: T2-weighted sagittal section at T10-T11 level showing ossification of ligamentum flavum with severe spinal canal stenosis and cord compression (arrow)
case_images: SNI-9-4-g004.jpg
case_images: PMC5778726_01_SNI-9-4-g004.jpg
case_images: F3
case_images: Magnetic resonance imaging (MRI) scan of the spine showed multilevel OLF with marked spinal cord compression at the C4-C5 and T10-T11 levels [Figures 1-3].
case_images: T2-weighted axial section at T10-T11 level showing intramedullary hyperintense signal changes (arrow) suggesting cord edema
case_images: SNI-9-4-g005.jpg
case_images: PMC5778726_01_SNI-9-4-g005.jpg
case_images: F4
case_images: Intramedullary hyperintense signals were also identified on T2-weighted sequences at the T3 and T10-T11 levels [Figures 4 and 5].
case_images: T2-weighted sagittal section showing intramedullary hyperintense signal changes at T10-T11 and T3 levels (arrows) suggesting cord edema
case_images: SNI-9-4-g006.jpg
case_images: PMC5778726_01_SNI-9-4-g006.jpg
case_images: F5
case_images: Intramedullary hyperintense signals were also identified on T2-weighted sequences at the T3 and T10-T11 levels [Figures 4 and 5].
case_images: T2 weighted sagittal section at T10-T11 level showing removal of previously present large ossified ligamentum flavum segment (arrow). Significant postsurgical changes are seen
case_images: SNI-9-4-g007.jpg
case_images: PMC5778726_01_SNI-9-4-g007.jpg
case_images: F6
case_images: T10-T11 levels [Figure 6]. The patient was discharged on the 10th postoperative day with a corrected calcium level of 7.8 mg/dl, having attained complete resolution of his preoperative motor deficit and urinary incontinence.