Abstract

This report describes two hemodialysis patients with cervical myelopathy due to calcification of the ligamentum flavum. The patients were male aged 59 and 57 who had been hemodialysed for 2 years and 3 months, and 22 years respectively. Their chief complaint were gait and precise motion disturbance. Computed tomography after myelography clearly showed the calcified lesion of the yellow ligament, which markedly compressed the spinal cord. We performed spinous process-splitting laminoplasty, which decreased their symptoms.Certain hypotheses were studied in the previous report on the causes of the calcification of the ligamentum flavum; for example mobile stress of the yellow ligament, estrogen decrease, and calcium metabolism disorder. Hemodialysis causes calcium metabolism disorder and calcium deposit to soft tissues like the periarticulation, vasculum and subcutis. There has however been no report on the observation of calcification at the yellow ligament.We believe that hemodialysis which causes calcium metabolism disorder is related to the calcification of the ligamentum flavum.

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