A 45-year old Hispanic woman with history of achondroplasia presented for evaluation of severe lower extremity weakness and spasticity, which had progressed over a 10-month period. Upon physical examination, she was 1.25 m tall (4 feet and 1 inch), wheelchair bound, and with inability to ambulate. Magnetic resonance imaging and computed-tomography scans of her thoracic spine revealed multilevel ossification of the ligamentum flavum (OLF) causing severe spinal cord compression [Figures 1 and 2]. The patient was offered multilevel thoracic decompression and stabilization from T3 to T10, but unfortunately did not return for follow-up.
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