This is a 45 year old female that presents with a four month history of left arm weakness and numbness and a 3 day history of right arm pain and numbness. On exam, she had obvious weakness of her left arm. She did not have any recent trauma. After evaluation, she was diagnosed with ossification of her posterior longitudinal ligament (OPLL) and stenosis (narrowing of her spinal canal). She needed to have the bone in the front of her neck removed along with the calcified and hardened ligament behind her bone followed by placement of a metal cage and fusion in the front of her neck. She then received posterior decompression and fusion in the back of her neck to fully decompress her spinal cord.
Now she has regained the function of both of her arms and is doing very well. She returned to work 4 weeks after her spinal reconstruction.