Type of Article: Original Research
Year: 2016 | Volume 4 | Issue 1 | Page No. 2080-2084
Date of Publication: 31-03-2016
OSSIFIED ANTERIOR LONGITUDINAL LIGAMENT: A STUDY IN ADULT HUMAN DRY VERTEBRA IN CENTRAL INDIA
Ashita Kaore *1, Ashish kamdi 2, M.P Fulpatil 3.
*1 Assistant Professor, Professor & Head3 , Department of Anatomy, Government Medical College, Nagpur, Maharashtra, India.
2 Assistant Professor, Department of Anatomy, Chandulal Chandrakar Memorial Medical college , Durg, Chattisgarh, India.
3 Professor and Head, Department of Anatomy, Government Medical College, Nagpur, Maharashtra, India.
Address: Dr. Ashita Kaore , Assistant Professor , of Anatomy, Government Medical College, Nagpur, Maharashtra, India. Mobile No. +919096609763
Introduction: The anterior longitudinal ligament is a broad and strong band of fibrous tissue that runs along the anterior surfaces of the bodies of the vertebra extending from the axis to the upper, pelvic surface of the sacrum.
Aim of the study: The present study was undertaken to evaluate the incidence of ossified anterior longitudinal ligament in adult dry human vertebra in central india.
Materials and Methods: This study was carried out on 50 sets of dry human vertebral columns irrespective of age and sex at Government medical college, Nagpur ,Maharashtra ,India.
Results: It was observed that out of 50 sets of vertebral columns, 8 (16%) vertebral columns showed ossification. Out of 8 vertebral columns, 2 (4 %) vertebral columns showed segmental type of ossification, 4(8%) vertebral columns showed continuous type of ossification and 3 (6 %) vertebral columns showed mixed type of ossification at different vertebral level.
Conclusion: ossification of anterior longitudinal ligament in vertebrae noted in this study may increase the stiffness of the backbone and the restriction of thorax mobility for respiratory movements and may lead to development of pulmonary diseases. Such type of ossification in the lumbar region affects the biomechanics of the lumbar spine and results in low back pain, kyphosis, scoliosis. Ossification at the level of the 5th lumbar vertebra and sacrum may lead to increased risk for advanced disc degeneration or disc herniation above the vertebrae. Hence, knowledge of such abnormalities should be kept in mind to minimise serious complications in any surgical intervention or investigative procedures in the region.
KEY WORDS: Ossification, Anterior longitudinal Ligament, Vertebrae, Thorax mobility, Respiratory movements.
- Sinnatamby CS.Last’s Anatomy. Regional and Applied.11th Edition Philadelphia,USA:Churchill livingstone.Elsevier;2006,282.
- Standring S .Gray’s Anatomy.The Anatomical Basis of Clinical Practice.40th Edition UK:Churchill Livingstone,Elsevier;2008,713,728-729.
- Snell RS. Clinical Anatomy by Regions.9th edition, New Delhi,India: Wolters Kluwer /Lippincott Williams & Wilkins;2012,690.
- 4.Moore KL, Agur AMR , Dalley AF. Essential Clinical Anatomy. 4th edition. Philadelphia, India: Wolters Kluwer / Lippincott Williams & Wilkins;2011, 288.
- Resnick D, Shapiro RF, Wiesner KB, et al. Diffuse idiopathic skeletal hyperostosis (DISH) (ankylosing hyperostosis of Forester and Rotes-Querol). Semin Arthritis Rheum 1978;7:153–87 .
- Resnick D, Shaul SR, Robins JM. Diffuse idiopathic skeletal hyperostosis (DISH): Forestier’s disease with extraspinal manifestations. Radiology 1975;115:513–24.
- Chakravarthi KK, Venumadhav N, Ravindranath G. Abnormal bone outgrowths and osseous structures around the foramen ovale may leads to mandibular compression or entrapment neuropathy. Int J Bioassays. 2013;2:922-25.
- Chakravarthi KK, Sarath Babu K. An anatomical study of the pterygo-alar bar and porus crotaphitico buccinatorius. Int J Med Health Sci. 2012;1:3-9.
- J Mizuno, H Nakagawa, J Song. Symptomatic ossification of the anterior longitudinal ligament with stenosis of the cervical spine: A report of seven cases. British Editorial Society of Bone and Joint Surgery 2005;87(10):1375-1379.
- McCafferty RR, Harrison MJ, Tamas LB, Larkins MV. Ossification of the anterior longitudinal ligament and Forestier’s disease: an analysis of seven cases. J Neurosurg 1995;83:13–17.
- Forestier J, Rotes-Querol J. Senile ankylosing hyperostosis of the spine. Ann Rheum Dis 1950;9:321-30.
- Khozaim N, Grays. Diffuse Idiopathic Skeletal Hyperostosis, e- Medicine Radiology / article /388973 – overview 2009.
- Westerveld LA, Van-Ufford HM,Verlaan JJ, Oner FC. The prevalence of diffuse idiopathic skeletal hyperostosis in an outpatient population in the Netherlands. J Rheumatol. 2008;35:1635-1638.
- Coakley FV, Vive J, Finlay DB, Shannon RS (1995) Childhood ossification of the anterior longitudinal ligament of the cervical spine. Clinical Radiology 1995;50:115-116.
- Miyazawa N, Akiyama I. Ossification of the ligamentum flavum of the cervical spine. J Neurosurg Sci. 2007;51:139-44.
- Suba Anathi K, Reena Agrawal, Sanjeeb Agrawal. Multiple Cervical Vertebral Fusion with Ossification of Anterior Longitudinal Ligament. Anatomical journal of Africa. 2013;2:128-31.
- Kalyan chakravarthi Kosuri, Nelluri Venumadhav, Siddaraju KS. Ossified Ligamentum Longitudinale Anterius in Adult Human Dry Vertebrae. Journal of Clinical and Diagnostic Research. 2014 Aug, Vol-8(8): AC04-AC06.
- Chakravarthi KK, Venumadhav N, Siddaraju KS. Morphological study on lumbosacral transitional vertebra in adult Indian sacra and its clinical implications.IJABPT. 2013;4:340-46.
- Albert Oppenheimer. Calcification and Ossification of Vertebral Ligaments. Radiology. 1942;38:160-73.
Ashita Kaore, Ashish kamdi, M.P Fulpatil. OSSIFIED ANTERIOR LONGITUDINAL LIGAMENT: A STUDY IN ADULT HUMAN DRY VERTEBRA IN CENTRAL INDIA. Int J Anat Res 2016;4(1):2080-2084. DOI: 10.16965/ijar.2016.149