{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T03:37:15Z","timestamp":1764733035970,"version":"3.41.2"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T00:00:00Z","timestamp":1677196800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The ossification of the ligamentum flavum (OLF) presents a significant risk factor in the development of spinal cord compression in the (lower) thoracic spine, particularly in eastern Asian elderly males. The definite causes for OLF have not yet been fully uncovered, whereby age, genetics, metabolic disorders and mechanical stress are deemed among the most plausible pathophysiological factors in OLF. Spinal deformities (mostly kyphotic) are associated with an excess in tensile forces, which may lead to hypertrophy and OLF. This unique case of OLF-related acute paraplegia and progressive thoracic myelopathy in a Central-European male patient may indicate the role of a (kyphoscoliotic) spinal deformity in the initiation and progression of the OLF-related (thoracic) myelopathy. Promptly initiated surgical decompression and (partial) deformity correction may, along with proper subsequent intradisciplinary rehabilitation process, greatly improve the clinical outcome post-treatment, especially in terms of quality of life and residual pain.<\/jats:p>","DOI":"10.1093\/jscr\/rjad070","type":"journal-article","created":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T07:11:01Z","timestamp":1677222661000},"source":"Crossref","is-referenced-by-count":2,"title":["Ossification of ligamentum flavum related to progressive thoracic myelopathy and acute paraplegia in a Central-European male with a thoracic kyphoscoliosis"],"prefix":"10.1093","volume":"2023","author":[{"given":"Danijel","family":"Erdani","sequence":"first","affiliation":[{"name":"Valdoltra Orthopaedic Hospital Department of Spine Surgery, , Jadranska cesta 31, 6280 Ankaran , Slovenia"},{"name":"University of Ljubljana Faculty of Medicine, , Vrazov trg 2, 1000 Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matev\u017e","family":"Topolovec","sequence":"additional","affiliation":[{"name":"Valdoltra Orthopaedic Hospital Department of Spine Surgery, , Jadranska cesta 31, 6280 Ankaran , Slovenia"},{"name":"University of Maribor Faculty of Medicine, , Taborska ulica 8, 2000 Maribor , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nik\u0161a","family":"Hero","sequence":"additional","affiliation":[{"name":"Valdoltra Orthopaedic Hospital Department of Spine Surgery, , Jadranska cesta 31, 6280 Ankaran , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9595-4840","authenticated-orcid":false,"given":"Peter","family":"Brumat","sequence":"additional","affiliation":[{"name":"Valdoltra Orthopaedic Hospital Department of Spine Surgery, , Jadranska cesta 31, 6280 Ankaran , Slovenia"},{"name":"University of Ljubljana Faculty of Medicine, , Vrazov trg 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