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The yellow ligament removal was performed ipsilateral or bilateral, under the spinous process, depending on the degree of central and contralateral foraminal stenosis.
Ossification of the yellow ligament (OYL) is seen at L3/4 and anterior spondylolisthesis of L4 vertebra, with concomitant ossification of the posterior longitudinal ligament.
It is supported by spinal ligaments (flexible band-like structures), which include the anterior and posterior longitudinal ligaments and the yellow ligament (ligamentum flavum) of the spine.