Percutaneous endoscopic treatment for cervical ligamentum fl
Cervical ligamentum flavum gout (CLFG) is relatively rare, and its clinical manifestations are complicated; hence, it is often confused with ligamentum flavum ossification. Gout tophi may relate to certain risk factors, such as renal insufficiency and lack of long-term effective uric acid treatment.

A 73-year-old man had a half-year history of left upper extremity pain and numbness, which was aggravated 6 months ago. We performed complete decompressions for this case with CLFG using posterior percutaneous endoscopic technique. The patient experienced a progressive improvement in the left upper extremity pain after the surgery, and no signs of cerebrospinal fluid leakage, infection, or other complications were experienced.

Source: Medicine: May 2019 - Volume 98 - Issue 20 - p e15665

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