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  4. Association of Inflammation, Ectopic Bone Formation, and Sacroiliac Joint Variation in Ossification of the Posterior Longitudinal Ligament

Association of Inflammation, Ectopic Bone Formation, and Sacroiliac Joint Variation in Ossification of the Posterior Longitudinal Ligament

J. Clin. Med., 2023 · DOI: 10.3390/jcm12010349 · Published: January 2, 2023

GeneticsOrthopedicsSpinal Disorders

Simple Explanation

This study investigates the relationship between inflammation, spinal ligament ossification (OPLL), and changes in the sacroiliac (SI) joint. The research categorizes ossification lesions into plateau and hill shapes and examines their connection to hs-CRP levels and SI joint changes. The study suggests a possible inflammation mechanism that contributes to new bone formation in OPLL, particularly in the plateau shape.

Study Duration
2012 to 2014
Participants
162 patients with cervical OPLL
Evidence Level
Not specified

Key Findings

  • 1
    The plateau shape of OPLL was more common in vertebral segments, while the hill shape was predominant in intervertebral regions.
  • 2
    Serum hs-CRP levels were significantly higher in the plateau-shaped group compared to the hill-shaped group.
  • 3
    SI joint intra-articular fusion was the main finding in the plateau-shaped group and showed significantly higher hs-CRP levels compared to anterior para-articular bridging.

Research Summary

The study classified new bone formation in OPLL into plateau-shaped and hill-shaped patterns and investigated related factors, including serum hs-CRP levels and SI joint ankylosis. The research found a link between spinal inflammation and the plateau shape in OPLL, as indicated by higher serum hs-CRP levels in the plateau-shaped group. The study suggests that inflammation may play a role in the progressive bone formation in the spine and SI joint in some cases of OPLL.

Practical Implications

Diagnostic Insights

Understanding the different shapes of OPLL and their association with inflammation can aid in more accurate diagnosis.

Treatment Strategies

The potential role of inflammation suggests that anti-inflammatory therapies might be beneficial in managing OPLL, particularly the plateau shape.

Risk Stratification

Identifying patients with SI joint intra-articular fusion and elevated hs-CRP levels may help in risk stratification for OPLL progression.

Study Limitations

  • 1
    Retrospective and cross-sectional study design.
  • 2
    Relatively small number of patients in a single institute.
  • 3
    Serum hs-CRP levels measured at only one point in time.

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