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.
64 year old male, with severe myeloradiculopathy and stenosis.
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.
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.