{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,5]],"date-time":"2024-10-05T04:13:12Z","timestamp":1728101592829},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>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\u2013L1 laminectomy with fusion.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>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 &gt;50% of the spinal canal) from D8 to D10 level and infective spondylodiscitis at the D10\u2013D11 level. Surgery included a D8\u2013L1 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.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Thoracic OLF combined with tuberculous spondylodiscitis may be effectively treated with decompression, fusion, and appropriate anti-tubercular therapy.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Keywords: <\/jats:title>\n<jats:p>Dorsal spine, Infective spondylodiscitis, Koch\u2019s, Neurological deficit, Ossified ligamentum flavum (OLF), Paraplegia, Tuberculosis spine instability score (TSIS)<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_583_2024","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T10:42:09Z","timestamp":1728038529000},"page":"362","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Double trouble: Concurrent ossification of ligamentum flavum with infective 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Narayan","family":"Rathod","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepika","family":"Jain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhushan","family":"Hadole","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rushikesh","family":"Shahade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chitranshu","family":"Shrivastava","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"key":"10.25259\/SNI_583_2024\/ref-1","doi-asserted-by":"crossref","first-page":"89","DOI":"10.4184\/asj.2014.8.1.89","article-title":"Ossification of the ligamentum flavum","volume":"8","author":"Ahn","year":"2014","journal-title":"Asian Spine 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kyphoscoliosis","volume":"2023","author":"Erdani","year":"2023","journal-title":"J Surg Case Rep"},{"key":"10.25259\/SNI_583_2024\/ref-5","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1002\/ams2.3","article-title":"A case of paraparesis with thoracic ossification of the posterior longitudinal ligament and the ligamentum flavum induced by falling down on the abdomen","volume":"1","author":"Nagayama","year":"2014","journal-title":"Acute Med Surg"},{"key":"10.25259\/SNI_583_2024\/ref-6","doi-asserted-by":"crossref","first-page":"96S","DOI":"10.1177\/2192568218769053","article-title":"Spinal tuberculosis: Current concepts","volume":"8","author":"Rajasekaran","year":"2018","journal-title":"Global Spine J"},{"key":"10.25259\/SNI_583_2024\/ref-7","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1177\/2192568220922209","article-title":"It\u2019s never too late: Neurological outcome of delayed decompression in tuberculosis of 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