60 yr old male, k/c/o DM +HTN, Complaining of weakness in both lower and upper limbs and loss of sensations. Difficulty in speaking. Power in lower limbs 0/5 Upper limbs 3/5 Diagnosis? Management?

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Destructive lesion of C7 vertebra with spondylolisthesis of C6UPON upon C7 with cord compression, indicative of myelomalacic changes, leading to quadriparesis. Most likely diagnosis is Koch's lesion, and needs cervical spine immobilisation by SOMI brace and adequate ATT. If no improvement is observed after 3-4 weeks of full course of ATT, then surgical decompression and internal stabilization of cervical spine is indicated.
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C6-7 cervical spine spondolisthesis with cord compression. Its very unstable and must be associated be bowel bladder involvement. Must be decompressed and fixed for good result. Need other images history and blood test to label it as Potts spine. Potts spine generally have have very good results when operated in time. Waiting for ATT to act might lead to permanent loss of neural tissue.
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Usually in pots spine disc space is a common feature There's irregular destruction of anterior aspect of the vertebral body .I may also think in terms of osteolytic secondaries in the c spine .Cord compression needs decompressing and stabilization
I meant loss of disc space is a common feature in kochs
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At C6-7 Cord compression with destructive lesion leading to quadriplegia. Need further evaluation Rx Refere to Orthopedic surgeon- spine and Neurosurgeon.
Any history of trauma. Immediate decompression and fixation. Steroids must be started. Although improvement is unlikely but fixation is required.
C6 c7 compression C6 c7 partial corpectomy send c7 part for hpe Cervical cage with bone graft and plate fixation
This is acute emergency needs immediately decompression by surgical mean otherwise Patient will collapse
Only continue methyle prednisolone It's gone case spinal cord compression on X3 C4 level
Ask neurosurgeon to take her to or
Agree with Dr jeetesh@
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