Spenser23. Iliolumbar ligament calcification . joints . Patients with this diagnosis can suffer from heel spurs or ligamentous calcification at the elbow or knee. the effects of extracorporeal shockwave therapy (ESWT) on the rehabilitation of cervical spondylosis with nuchal ligament (NL) calcification under X-ray and ultrasound guidance. Calcifications may appear in various conditions such as burns, fluoride poisoning, surgical trauma, sarcoidosis, amyloid . Ossification of the nuchal ligament (ONL) is a kind of ossification in the soft tissue posterior to the spinous process of the cervical spine, which is usually asymptomatic and observed accidentally on lateral cervical X-ray 14-16. Nuchal bone : A nuchal bone is a focal ossification of the nuchal ligament appearing as an oblong, vertically oriented, radiodense osseous structure that varies in size, but is often approximately 1 cm wide and 2 to 4 cm long. Introduction. Neural foramina are well preserved. During the operation, the ossificated nuchal ligament and the ligamentum flavum between C2-3 were stained black in color due to the deposition of the oxidized HGA . Objective: To improve the cognition about X-ray characteristics of nuchal ligament calcification, and discuss biomechanical properties. An X-ray showed degeneration of cervical vertebra bone, calcification of the nuchal ligament, and narrowing of the intervertebral space between C5/6 (Fig. During the routine lateral X-ray imaging two sesamoid ossicles were found within the nuchal ligament at the C4 and C5 spinous processes level. Epidemiology They occur in ~7.5% of the population, with a male p. An oblong sesamoid accidentally discovered during routine anteroposterior (AP) and lateral x-ray, within the nuchal ligament (NL) at the C3-C6 spinous processes level. brain, where it's known as cranial calcification. heart valves. There is evidence of fusion of the entire spine with calcification of the anterior spinal ligament and degeneration of disc affecting at all the levels. Methods: From September 2008 to August 2009, the X-rays of 163 cases showed nuchal ligament calcification, which datas were analyzed. Scroll Stack. 12. Sixty patients with . Serial cervical dynamic radiographs and open-mouth views . There were 91 males and 72 females, the age from 38 to 68 with an average of . A flowchart of the study. S. Joined: Nov 2001. Types of calcification. Ossification of the nucal ligament manifests as a radio-opaque formation in the soft tissues just posterior to the spinous process of the cervical spine. Abstract. Measurement of cross-sectional area of (C) ossification of the nuchal ligament (ONL) and (D) cervical neural foramen. Anyone have calcification of the Ligaments? Measurement of cross-sectional area of (C) ossification of the nuchal ligament (ONL) and (D) cervical neural foramen. I just had a C-spine x-rays done and here is what the report says: Cervical Spine: Shows generalized osteopenia. Case Discussion. Anteroposterior axial cervical spine X-ray ing at the lesion). Abstract. Authors Naoho . 0.27 mJ/mm2) over the calcified NL guided by X-ray image. Calcification of the ligaments is common in people with AS. The efficacy of ultrasound-guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcification . nuchal ligament at the C5 and C6 spinous . We investigated the effects of extracorporeal shockwave therapy (ESWT) on the rehabilitation of cervical spondylosis with nuchal ligament (NL) calcification under X-ray and ultrasound guidance. Nuchal bone : A nuchal bone is a focal ossification of the nuchal ligament appearing as an oblong, vertically oriented, radiodense osseous structure that varies in size, but is often approximately 1 cm wide and 2 to 4 cm long. 2016 Jan;43(1):177-8. doi: 10.3899/jrheum.150905. Rare Cause of Nuchal Pain: Calcification of the Alar Ligament J Rheumatol. Loss of cervical lordosis is present, indicating muscular spasm. the nuchal ligament or tendons in the ex-tremities). METHODS: From September 2008 to August 2009, the X-rays of 163 cases showed nuchal ligament calcification, which datas were analyzed. From September 2008 to August 2009, the X-rays of 163 cases . The Effect of Nuchal Ligament Calcification on Cervical Function in Patients With Neck Pain. Moderate degenerative spine and disc disease is noted in the cervical spine mainly centered at the C5-C6 level with disc space narrowing and anterior osteophytosis. Physical examination, X-rays, computed tomography and lab results of the urine sample confirmed the presence of ochronosis with the involvement of the cervical spine. The measurement of X-ray finding of cervical spine. There were 91 males and 72 females, the age from 38 to 68 with an average of 53.6 years. By Tz-Yan Lin, Jing-Ting Chen, Yu-Yu . Three-dimensional CT and MR imaging revealed a 7.2 × 7.6 × 4.0 mm nodular calcification in the right alar ligament with normal adjacent bony structures. Patients in Group C received the same treatment as those in Group B, but the ESWT was guided by . Objectives. The nuchal ligament is an important structure that maintains lordotic alignment and stabilizes the head and cervical spine during movement [27, 28]. Cervical spine x-rays showed spondylotic changes at C4-C6 with large marginal osteophytes. (A) The modified Cobb method on the lateral radiographic views. Sesamoid ossicles of the nuchal ligament are a relatively common anatomical variant that are usually asymptomatic and most commonly occur at the C5-C6 or C6-C7 vertebral levels. . From September 2008 to August 2009, the X-rays of 163 cases . The other spinal enthesopathies are OPLL and OVAL. The measurement of X-ray finding of cervical spine. (B) The posterior tangent method uses the two posterior vertebral body corners at C2 and C7. Dense tracheal ring calcifications (anteriorly overlying the trachea) and nuchal ligament (posterior at the C4-C5 level) calcification are present. The efficacy of ultrasound-guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcification . During the routine lateral X-ray imaging two sesamoid ossicles were found within the nuchal ligament at the C4 and C5 spinous processes level. When the nuchal ligament is . Lateral. Sixty patients with cervical spondylosis and calcification of NL were selected and randomly assigned to th … To improve the cognition about X-ray characteristics of nuchal ligament calcification, and discuss biomechanical properties. Lateral. There were 91 males and 72 females, the age from 38 to 68 with an average of 53.6 years. Angles of cervical lordotic curve at C2-C7 on cervical x-ray [ Time Frame: within one week after first visit ] measured by both modified Cobb method and Harrison posterior tangent method at C2-C7 in every participants. Objectives. (A) X-ray and (B) ultrasound image of calcification of nuchal ligament (arrows). Posts: 5,121. Disc spaces are preserved. Scroll Stack. Calcifications can form in many places throughout your body, including: small and large arteries. Moderate degenerative spine and disc disease is noted in the cervical spine mainly centered at the C5-C6 level with disc space narrowing and anterior osteophytosis. 3 Case Discussion. Rare Cause of Nuchal Pain: Calcification of the Alar Ligament. Diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis are cervical ankyloses that can be difficult to distinguish from . Composed of the occiput and the first two cervical vertebrae, this important anatomic landmark, in conjunction with an intricate ligamentous complex, is essential to maintaining the stability of the cervical spine. 2 Calcification (C) 5 3 Bursitis (B) 4 4 Ins.Desm. The atlantoaxial joint is the most mobile portion of the spine, predominantly . palmar or plantar pits, and in 18% calcification of the nuchal ligament . It is commonly seen among patients older than 40 years of age and is of limited . Cervical X-ray examination could discover characteristics of nuchal ligament calcification in the relative segment, also is helpful to diagnosis of cervical spondylosis. 1 A and B). 1) The objective of this study was to explore radiological signs of intracranial and nuchal ligament calcifications in adult patients with X-linked hypophosphatemia (XLH) compared with controls and 2) to correlate signs of cranial calcifications in XLH patients with the presence of other extra-cranial enthesopathies, with the severity of skeletal XLH impact and with medical . Nuchal bone : A nuchal bone is a focal ossification of the nuchal ligament appearing as an oblong, vertically oriented, radiodense osseous structure that varies in size, but is often approximately 1 cm wide and 2 to 4 cm long. The inflammed ligaments, over time, lose their elasticity and become stiff (ankylosed), which limits movement and the vertabrae fuse together. 1) The objective of this study was to explore radiological signs of intracranial and nuchal ligament calcifications in adult patients with X-linked hypophosphatemia (XLH) compared with controls and 2) to correlate signs of cranial calcifications in XLH patients with the presence of other extra-cranial enthesopathies, with the severity of skeletal XLH impact and with medical . Local anaesthesia with . SUMMARY: We report a case of an incidental nodular calcification of the alar ligament simulating a fracture in the craniovertebral junction of a previously healthy 24-year-old man. OBJECTIVE: To improve the cognition about X-ray characteristics of nuchal ligament calcification, and discuss biomechanical properties. New York, NY, USA. . . Case Discussion. Ossification of the posterior longitudinal ligament (OPLL) and ossification of the nuchal ligament (ONL) in the cervical spine are common types of ligament ossification of the spine [].OPLL can compress the spinal cord directly and may lead to neurologic symptoms, which require surgical intervention in severe cases [].The incidence of OPLL ranges from 0.1 to 2.8% and varies in . Angles of cervical lordotic curve at C2-C7 on cervical x-ray [ Time Frame: within one week after first visit ] measured by both modified Cobb method and Harrison posterior tangent method at C2-C7 in every participants. Download : Download high-res image (268KB) Download : Download full-size image; Figure 2. Profile cervical spine X-ray (red arrow point- Figure 1b. . Ossification of the nuchal ligament is seen as a radio-opaque density within the soft tissue posterior to the spinous processes of the cervical . METHODS: From September 2008 to August 2009, the X-rays of 163 cases showed nuchal ligament calcification, which datas were analyzed. An oblong sesamoid accidentally discovered during routine anteroposterior (AP) and lateral x-ray, within the nuchal ligament (NL) at the C3-C6 spinous processes level. Ossification (or calcification) of the nuchal ligament (ONL) can form around the spinal processes of the cervical spine, contributing to cervical pathology [29, 30]. There are also ossification of anterior longitudinal ligament and posterior nuchal ligament at C5/6. Nuchal ligament is important for maintaining the lordotic alignment of the cervical spine and stabilizing the head during movement of the cervical spine. (B) The posterior tangent method uses the two posterior vertebral body corners at C2 and C7. Tomography, X-Ray Computed / methods OBJECTIVE: To improve the cognition about X-ray characteristics of nuchal ligament calcification, and discuss biomechanical properties. Ossification of the nuchal ligament (ONL) is a kind of ossification in the soft tissue posterior to the spinous process of the cervical spine, which is usually asymptomatic and observed accidentally on lateral cervical X-ray 14-16. 2010; TLDR. Objective: To improve the cognition about X-ray characteristics of nuchal ligament calcification, and discuss biomechanical properties. Sixty patients with cervical spondylosis and calcification of NL were selected and randomly assigned to th … Methods: From September 2008 to August 2009, the X-rays of 163 cases showed nuchal ligament calcification, which datas were analyzed. Coronal and sagittal computerized tomography (CT) showed herniation of the cervical 3/4 and cervical 5/6 discs (central type); a cervical 4/5, 6/7 disc bulge; cervical bone . Dense tracheal ring calcifications (anteriorly overlying the trachea) and nuchal ligament (posterior at the C4-C5 level) calcification are present. (A) The modified Cobb method on the lateral radiographic views. Iliolumbar ligament calcification . Ossification of the nucal ligament manifests as a radio-opaque formation in the soft tissues just posterior to the spinous process of the cervical spine. The nuchal ligament or ligamentum nuchae extends from the external occipital protuberance of skull and median nuchal line to the spinous process of the seventh cervical vertebra 1. It is commonly seen among patients more than 40 years of age and is of limited . The horses underwent an ultrasound examination, if the diagnosis could not be done on the X-rays alone. X-ray imaging two sesamoid ossicles were found within the nuchal ligament at the C4 and C5 spinous processes level. We investigated the effects of extracorporeal shockwave therapy (ESWT) on the rehabilitation of cervical spondylosis with nuchal ligament (NL) calcification under X-ray and ultrasound guidance. * Evaluation included: range of motion of neck, pain severity, Neck Disability Index, and cross-sectional areas of ossification of the nuchal ligament. [Clinical significance of nuchal ligament calcification and the discussion on biomechanics]. Ossification (or calcification) of the nuchal ligament (ONL) can form around the spinal processes of the cervical spine, contributing to cervical pathology [29, 30]. Copy Link to Clipboard. Nuchal ligament is important for maintaining the lordotic alignment of the cervical spine and stabilizing the head during movement of the cervical spine. There were 91 males and 72 females, the age from 38 to 68 with an average of . jie luo, Xuan Wei, Jia-Jin Li; Medicine, Biology. The nuchal ligament is an important structure that maintains lordotic alignment and stabilizes the head and cervical spine during movement [27, 28]. The second case was a 64-years- . and Calcification 6 . Approximately one-third of all cervical spine injuries involve the craniocervical junction (CCJ). Expand. They are present as cartilaginous nodules X-rays revealed calcification of the nuchal ligament in the fetus, and usually in greater numbers than in in 18% of the general population.12 Calcinosis the adult, but it seems . around the nuchal ligament, X-rays of the poll and surrounding tissue were made. The Effect of Nuchal Ligament Calcification on Cervical Function in Patients With Neck Pain. . A cervical MRI scan was . . His symptoms are probably related to the marginal osteophytes . A cervical MRI scan was . When the nuchal ligament is . . palmar or plantar pits, and in 18% calcification of the nuchal ligament . Iliolumbar ligament calcification . 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