NECK SURGERY

CASE PRESENTATION Cervical Disc Herniation


 

History Summary

  • 63 years old man
  • Chronic Neck Pain
  • Left Arm pain, Weakness, Dysesthesia
  • Unable to sleep

Exam

  • Left Triceps weakness 4/5
  • Left C6&C7 dermatomal distribution decreased sensation

 X Rays

 

 

 

 

 

 

 

 

 

 Diagnosis- Cervical MRI

  • C5-6 and C6-7 Disc Protrusions
  • Impingement of the Left C6 abd C7 nerves
  • Left C6 and C7 CT guided nerve root injections failed significantly helped for 6 weeks but then symptoms returned to the pre-injection level

MRI: Sagittal View

 

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C5-6 Axial view

Left C6 nerve impingement

 

 

 

 

 

 

 

 

 C6-7 Axial view

Left C7 nerve impingement

 

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     Treatment C5-6 and C6-7 ACDF

Intraoperative Fluoroscopy Views

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 2 YEAR Follow-Up X Rays

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CASE PRESENTATION: Cervical Spondylotic Myelopathy (CSM)


Multilevel ACDF

 

History Summary

  • 48 years old businessman
  • Very active  traveling very often
  • Likes playing football

 Presentation

  • Severe Gait&Balance problems
  • Neck pain
  • Bilateral Arm Dysesthesia
  • Started having Falls
  • Dexterity problems

 

 

 

          Lateral Cervical X Ray       CT scan-sagittal view 

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MRI Cervical Spine

                                     Sagittal View                          Axial Views C4-7

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Diagnosis

Cervical Spondylotic Myelopathy C4-7

 

Exam:

  • Left Triceps weakness
  • Bilateral C6, C7 dermatomal decreased sensation
  • Bilateral Hoffman`s reflex (pathologic)
  • Upper extremities brisk reflexes

 

 

 

Treatment-Multi-Level ACDF C4-7

Intraoperative Fluoroscopy Views