2006 Volume 20 Issue 2 Pages 113-118
A case of ossification of anterior longitudinal ligament at C2/3 level with dysphagia is presented. The patient was a 70-year-old man. He had been suffering from dysphagia for five years. He was admitted to our hospital with increasing dysphagia and muscle weakness of the right arm. X-ray and three-dimensional CT showed a small anterior osteophyte at C2/3 level. MRI demonstrated a spondylotic hard disc compressing the spinal cord at C3/4 level. We performed anterior decompression with fusion using titanium cage and autogenous graft bone for C3/4. In addition, surgical decompression of the anterior osteophyte at C2/3 was achieved. The right arm weakness and dysphagia improved postoperatively.
