Concluded Case

Pposteriour stabilization and laminectomy of cervical spine

55 male with weakness in both finger grasp since aggressive work at his plantation Also their is pain and numbness in left lowerlimb Mri been tagged Needs opinion regarding management I'm thinking to do laminectomy with posterior stabilization of c4 to c7 Opinion please ?

2 Likes

LikeAnswersShare
Concluded answer
went through posterior approach placed pedicle screws to c4,c5,c6,c7 and then laminectomy of c4,5,6 and decompression of cord been done now post op 2 patient is regaining slowly fingur movements as shown intra op picture in answer section
All Answers
Ideally anterior disectomy at c4/5 and c5/6 with tricorticate graft with plate & screw fixation. Also osteophyte is to be removed which can be done easily from front. The ultimate aim of surgery is to achieve fusion where after a time implant becomes redundant , as implants are bound to fail over time.
Valuable opinion
0
went through posterior approach placed pedicle screws to c4,c5,c6,c7 and then laminectomy of c4,5,6 and decompression of cord been done now post op 2 patient is regaining slowly fingur movements as shown intra op picture in answer section
First check the spinal canal diameter of compressed segments If it's acceptable range, conservative treatment may benefit If it's acute onset, better go for conservative treatment before surgical interventions
Thanks
1
Laminectomy of c4,5,6 and posterior stabilization of c 4,5,6 and 7 Now patient is regaining finger movements
MRI images are small Multiple level involvement Posterior approach may work better than anterior
Thanks
0
Do EMG then decide Laminectomy with posterior Stabilization ofc4 to c7
Thanks
0