Chalk-stick cervical spine fracture (DISH / OPLL): post-operative

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Motor vehicle accident. Neck pain. Post operative.

Patient Data

Age: Elderly
Gender: Male

Extensive bridging osteophytes anteriorly as well as extensive ossification of the posterior longitudinal ligament. The facet joints and spinous processes do not appear ankylosed. 

A fracture through the C5/6 disc level is present, which has been fused with posterior rods held in place with lateral mass / transpedicular screws. 

Case Discussion

This case demonstrates features of both DISH and OPLL, a well recognized association. 

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