저자들은 흉추부 황색 인대 골화증을 동반한 범발성 특발성 과골증 환자에서 급격히 진행하는 좌하지 편마비를 수술적 치료를 시행하여 좋은 결과를 얻었기에 문헌 고찰과 함께 보고하는 바이다.

Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier`s disease, is an idiopathic rheumatological abnormality in which exuberant ossification occures along ligaments throughout the body, most notably the anterior longitudinal ligament of spine, frequently posterior longitudinal ligament or ligamentum flavum. Ossification of ligamentum flavum (OLF) causes narrowing of spinal canal and cord compression. It has been described almost exclusively in the Japanese, extremely rare in Caucasian and Korean population. The predominant location of symptomatic OLF is at the thoracolumbar junction, particularly at T10-11 followed by T11-12, and rarely in the cervical region. We experienced a case of progressive myelopathy due to the nodular ossification of ligamentum flavum in patient with DISH, who was treated by posterior decompressive laminectomy, removal of the ossified ligamentum flavum. The neurologic status of the patient was improved dramatically after operation.