Cervical myelopathy caused by ligamentum flavum ossification Mielopatia cervical por ossificação do ligamento amarelo

Ossification of the ligamentum flavum (OLF) is a rare manifestation and when causing myelopathy it affects essentially the thoracic spine1. Only a few cases of symptomatic cervical disease have been reported, with all patients being Japanese2. The first OLF case reported in a Caucasian was performed by Parekh et al., in 19933. Since then, 19 cases have been reported in Caucasian patients and all of them in the thoracic spine2. The authors report the first case with cervical myelopathy caused by OFL in a Caucasian patient surgically treated with a good outcome.