Cervical Fusion

Spine

Cervical stenosis with myelopathy

65 year-old man presents to ER after multiple falls. Describes progressive hand weakness and loss of dexterity along with difficulty walking resulting in multiple falls recently

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Spine

Acute cervical disc herniation

61 year old man undergoes unrelated surgical procedure. Upon waking from surgery reports new pain, numbness, tingling in his forearms and hands and weakness of his legs. No prior history of arm problems No neck pain Neuro exam with sensory loss in medial hands and radial forearm into axilla Proximal leg weakness Urgent MRI c-spine obtained

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Spine

C1-2 fusion

C1-2 instability with rheumatic pannus 75 year-old woman with history of rheumatoid arthritis presents to office with several years of progressive neck pain. Also reports 3 months of numbness in her hands; denies weakness but reports apraxia

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Spine

Cervical Fusion

85 year old man presents with shock-like sensations shooting into his arms and hands Increasing numbness in hands One month of hand and arm weakness, getting worse rapidly Off balance walking Can’t use his hands for fine motor tasks like shaving, buttoning clothes etc.

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Spine

Cervical Fusion

Dx: cervical disc displacement, myelopathy, subluxation

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