Even more amazing, however, is that innumerable roent genological findings of such thick, bony lesions could be overlooked for decades before OPLL became well recognized by physicians in Japan. It was truly a surprise to learn that the posterior longitudinal ligament could become a thick, bony plate in the cervical spine and impinge on the spinal cord, leading to paralysis.
Investigation of the etiology and treatment of the condition has taught surgeons to see diseases of the spine and their surgical treatment in a new perspective.
"Man can see only what he knows." Goethe Ossification of the Posterior Longitudinal Ligament (OPLL) has long been a challenge to orthopedic spinal surgeons in Japan, and their struggle to meet that challenge has marked a turning point in the history of spinal surgery.
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