Ossification of the thoracic ligamentum flavum is a rare condition and reports of this pathology have been limited mostly to oriental patients. Uppermost lesions are rare.

A 39-year-old Turkish male presented with spastic paraparesis. He was a piano carrier. Radiological examinations revealed extensive Th2-Th3 and Th3-Th4 interlaminar lesions. These lesions were excised.

Ossification of thoracic ligamentum flavum should be considered in the differential diagnosis of paraparesis, especially in patients whose spine is exposed to axial loading and stretch forces during work.