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This classical midline sagittal 2D-CT study documents marked spinal stenosis with CSM accompanied by ventral OPLL (segmental behind the vertebral bodies of C4, C5, C6 with punctate ossification) and marked dorsolateral laminar shingling (e.g., C4, C5, C6 and the leading edge of C7). This patient's myelopathy resolved following a laminectomy of C4-C6 with undercutting of C3 and C7 and posterior C2-T2 fusion
