Published online Aug 26, 2021. doi: 10.12998/wjcc.v9.i24.7285
Peer-review started: May 12, 2021
First decision: June 15, 2021
Revised: June 16, 2021
Accepted: July 6, 2021
Article in press: July 6, 2021
Published online: August 26, 2021
Processing time: 103 Days and 21.8 Hours
Intervertebral disc calcification (IDC) combined with ossification of the posterior longitudinal ligament (OPLL) in cervical discs is rarely reported. This case study presents a rare case of IDC combined with OPLL in the C2-C3 segment.
Here, we present a case of a 6-year-old Asian boy with severe neck pain and stiffness. Physical examination showed no neurological or other abnormalities. Digital radiography and computed tomography (CT) revealed a calcified intervertebral disc and OPLL at the C2-C3 vertebrae. The spinal canal compromise at C2-C3 was approximately 50% on magnetic resonance imaging. The final diagnosis was IDC combined with OPLL. We applied a neck brace for the patient to protect the neck. The patient's neck pain and stiffness recovered significantly within approximately 3 wk. At the 3 mo follow-up, the follow-up CT showed resolution of the ossified intervertebral disc herniation, and a small amount of calcification and slight OPLL remained at the involved segment.
IDC combined with OPLL is a relatively rare condition in children. However, the majority of patients could have a favorable outcome, and the ossified mass in the canal would be spontaneously resolved with conservative therapy.
Core Tip: Intervertebral disc calcification (IDC) with ossification of the posterior longitudinal ligament (OPLL) is rare. At present, there is no consensus on the diagnosis and treatment of the disease. If the disease is not recognized, it is easily misdiagnosed and leads to unnecessary treatment. In addition, there are few reports of upper cervical IDC with OPLL, which may limit doctors’ awareness of the disease. This case study presents a rare case of IDC combined with OPLL in the C2-C3 segment to help diagnose and treat the disease.