A 64 year old male presented with myeloradiculopathy, stenosis, spinal cord compression, and numbness in his hands. Dr. Pashman treated the patient with an Anterior Cervical Discectomy and fusion at C6/7.
Case Review:
64 year old male, with severe myeloradiculopathy and stenosis.
Patient History:
64-year-old male
Severe myeloradiculopathy evidenced as upper motor neuron signs including hyperreflexia and numbness in the hands bilaterally, including the ulnar distribution.
This is referable to a critical spinal stenosis at C6-7 with cord compression circumferentially. The patient has degenerative disk disease and other problems cephalad to the critical stenosis, but this is the one that is causing a severe myeloradiculopathy.
Indications for Surgery:
1. Severe myeloradiculopathy with critical spinal stenosis, C6-7.
2. Hard and soft disk causing #1 diagnosis, C6-7.
3. Neural foraminal stenosis of C6-7, now with impending motor sensory deficit.
4. Severe degenerative disk disease, C6-7.
Surgical Strategy:
Radical diskectomy under the microscope for spinal cord decompression for myeloradiculopathy, C6-7.
Interbody fusion with PEEK device measuring 8- mm at C6-7.
Reversal cervical kyphosis with reconstruction, C6-7.
Anterior cervical plate fixation using 4-hole trestle plate, C6-8.
Intraoperative fluoro management.