Isolated ligamentum flavum ossification in primary hypoparathyroidism

Amir Sohail, Muhammad Maan, Muhammad Khan, Qamar Masood

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


Background: The ligamenta flava can undergo ossification and calcification resulting in myelopathy. Only seven cases of ligamentum flavum ossification in association with hypoparathyroidism have been reported, most of which had concurrent osseous changes in other spinal ligaments. Here, we report a patient with hypoparathyroidism who presented with ligamentum flavum ossification causing both cervical and thoracic myelopathy. Case Description: A 43-year-old male presented with backache, urinary retention, and lower limb weakness for the last few days. Magnetic resonance imaging scan showed ossification of the ligamentum flavum in the cervical and thoracic regions, with severe spinal stenosis. Following spinal decompressive surgery, the patient made a complete recovery. Primary hypoparathyroidism was found to be the underlying cause for ligamentum flavum ossification. Conclusion: Ossification of ligamentum flavum secondary to hypoparathyroidism should be considered as a possible cause of myelopathy in all patients presenting with symptoms of spinal cord compression.

Original languageEnglish
Article number4
JournalSurgical Neurology International
Issue number1
Publication statusPublished - 1 Jan 2018


  • Hypoparathyroidism
  • ligamentum flavum
  • myelopathy
  • ossification
  • parathyroid hormone


Dive into the research topics of 'Isolated ligamentum flavum ossification in primary hypoparathyroidism'. Together they form a unique fingerprint.

Cite this