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Hypertrophy of the ligaments in the vertebral canal of the spinal column can narrow the canal (stenosis) to the point that the spinal cord and/or nerve roots running through the canal are compressed. When the posterior longitudinal ligament in front and ligamentum flavum behind the spinal cord hypertrophy the cord is almost "circumferentially" surrounded and compressed.


Hypertrophy of the ligamentum flavum laterally near the facet joint can also contribute to foraminal narrowing (stenosis) with potential nerve compression (pinching).

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uscneurosurgery


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Q: What exactly is Ligamentous Hypertrophy?
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Is ligamentum flavum hypertrophy related to psoriatic arthritis?

I have never seen any thing tying them together other then they are both the result of inflammation. However the inflammation in the case of RA starts in cartilage while it seems that in the case of flavium hypertrophy it is the result of scar tissue forming on ligament in the vertebrae.