{"id":"a8c3993c-b7c4-4e9b-993d-4229c9b96e53","slug":"double-trouble-concurrent-ossification-of-ligamentum-flavum-with-infective-spondylodiscitis-in-the-thoracic-spine-resulting-in-paraplegia-a-case-report","title":"Double trouble: Concurrent ossification of ligamentum flavum with infective spondylodiscitis in the thoracic spine resulting in paraplegia: A case report","authors":["Akshay Vasant Mohite","Tushar Narayan Rathod","Deepika Jain","Bhushan Hadole","Rushikesh Shahade","Chitranshu Shrivastava"],"abstract":"Background: Thoracic ossification of the ligamentum flavum (OLF) and tuberculous infective spondylodiscitis rarely combine to cause paraplegia. Here, a 48-year-old female with both thoracic OLF and tuberculous spondylodiscitis experienced the acute onset of paraplegia successfully managed with a T8–L1 laminectomy with fusion. Case Description: A 48-year-old female presented with the acute onset of paraplegia attributed to magnetic resonance-documented thoracic OLF and infective spondylodiscitis. Imaging revealed spinal cord compression (i.e., occupying >50% of the spinal canal) from D8 to D10 level and infective spondylodiscitis at the D10–D11 level. Surgery included a D8–L1 laminectomy with instrumented fusion. Histology and cultures revealed the presence of tuberculosis, and anti-tubercular therapy was administered. Both surgery and continued antibiotic therapy contributed to neurological improvement. Conclusion: Thoracic OLF combined with tuberculous spondylodiscitis may be effectively treated with decompression, fusion, and appropriate anti-tubercular therapy.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/a8c3993c-b7c4-4e9b-993d-4229c9b96e53/featured/hero-cropped-1781559185206.jpg","publishDate":"2024-10-04T00:00:00.000Z","doi":"10.25259/SNI_583_2024","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/10/13130/SNI-15-362.pdf"}