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The patient came to the
clinic 18-August-2008 complaining of LBP for 6
months with left sciatica . MRI of the cervical
spine performed 17-March-2008 showed very huge
PCD C4-5 and C5-6 with malacia of the spinal
cord at that level. |
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The patient using crutches
for 4 months . |
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On examination: the
defecation and micturition is normal. He has
neck pain when bending to the right. Hypalgesia
entire left upper limb and the right side of the
body below D3 level. There is weak grip and
flexion both hands 4/5 and both triceps
more weak the right -4/5. There is weak
planterflexion both feet -4/5, and dorsiflexion
both feet right -4/5, left 3/5. The right
quadriceps femoris 3/4 and the left 4/5. There
is bilateral Hoffmann and Babinski
signs. |
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The patient was sent for new
MRI of the cervical spine where the same
findings were figured. |
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Discectomy of C4-5 and C5-6
was performed anteriorly guided with
image-intensifier. The very huge extrusion of
C4-5 was removed and the dura was seen at the
C4-5 and C5-6 level. |
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Using Hybrid 2 level cervical
miniplate and 6 screws, anterior fixation
of C4-5-6 was achieved. The bone dust harvested
during surgery was returned back for bony
fusion. |
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Routine closure of the wound
and smooth postoperative recovery. |
