Dr. Dilip S. Kiyawat, Leading Spine & Neurosurgeon in the Field of OPLL TREATMENT
OPLL TREATMENT
As the name suggests it is thickening with calcium in the ligament which layers the posterior aspect
of vertebrae. It usually involves the cervical region. The actual cause of OPLL is not known but it has
genetic and geographical preferences together with wear and tear of the spine especially in heavy
laborers. The condition progresses over time in its extent of length and thickness.
Symptoms: It may remain silent for years and symptoms may appear following some trauma or as a
result of ongoing wear and tear. Neck pain, neck discomfort, or stiffness in his neck are the main
features initially. As the OPLL gets thicker it occupies the spinal canal space and starts pressing on
the spinal cord. Such patients develop weakness, stiffness, and tingling in all four limbs. Advanced
cases develop difficulty in walking and loss of bladder and bowel control
Treatment: The treatment of choice is decompression of the spinal cord. This is done either by
laminectomy (removing the posterior part of the vertebrae called the lamina) or laminoplasty
(widening the spinal canal by partly lifting the laminae). Decompression is accompanied by
stabilization of the spine. The benefit of the surgery is seen within days. These patients need further
physiotherapy for recovery.
Causes
The exact cause of OPLL is not fully understood, but there is a genetic predisposition in some cases.
Symptoms
Compression of the spinal cord or nerve roots can lead to numbness and weakness in the arms and legs.
Treatment
Surgical intervention is considered for severe cases with significant neurological deficits or if conservative measures fail.
Rehabilitation
Physical therapy is crucial for improving mobility, strength, and flexibility.
OPLL treatment
Neck Pain
Pain and stiffness in the neck are common symptoms.
Pain Management
Medications may be prescribed for pain management.
Difficulty Walking
Severe cases may result in difficulty walking or maintaining balance.
Surgery
Spinal fusion may be performed to stabilize the spine after decompression.
Ossified Posterior Longitudinal Ligament (Opll) causing compression of spinal cord
