Axial Back Pain Secondary to Ligamentum Flavum Ossification in a Patient with Hypoparathyroidism: A Rare Case Report

Gilan, Hasanali; Sacaklidir, Rekib; Er, Gunay; Kaplan, Hatice; Sahin, Tulay; Altuntas, Yuksel

Volume : 60 Issue : 3 Year : 2026

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Axial Back Pain Secondary to Ligamentum Flavum Ossification in a Patient with Hypoparathyroidism: A Rare Case Report [Med Bull Sisli Etfal Hosp]

Med Bull Sisli Etfal Hosp. 2026; 60(3): 421-423 | DOI: 10.14744/SEMB.2026.97957

Axial Back Pain Secondary to Ligamentum Flavum Ossification in a Patient with Hypoparathyroidism: A Rare Case Report

Hasanali Gilan¹, Rekib Sacaklidir¹, Gunay Er¹, Hatice Kaplan¹, Tulay Sahin¹, Yuksel Altuntas²
¹Division of Pain Medicine, Department of Physical Medicine and Rehabilitation, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye
²Department of Endocrinology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye

The ligamentum flavum is a structure that connects adjacent laminae and plays a role in maintaining upright posture. Hypopara-thyroidism can rarely cause ligamentum flavum ossification (LFO). LFO can cause symptoms due to spinal cord compression. A 48-year-old man was evaluated for complaints of widespread back pain, a burning sensation, and numbness in the lower extremities. Imaging revealed spinal stenosis at the T10-T11 level due to LFO. Following facet joint block and duloxetine treatment, the VAS score decreased from 8 to 3. Early diagnosis and appropriate treatment of LFO in patients with hypoparathyroidism are critical for symptom control and functional recovery.

Keywords: Hypoparathyroidism, ligamentum flavum ossification, neuropathic pain

Corresponding Author: Hasanali Gilan
Manuscript Language: English

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