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10-MARCH-2009  ZEYAD THAMER AL-SAADOON  84 YEARS  SEVERE CERVICAL CANAL STENOSIS MORE AT C3-4 AND C5-6.

Anamnesis:

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The patient started to complain of four limb weakness for more than 5 years with considerable deterioration the last year with inability to ambulate the last year. The patient had IHD for what before surgery stinting of the coronaries was performed 5 days ago. The patient also had renal malfunction, which was corrected.

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MRI cervical spine performed 01-March-2009 showing severe stenosis of the cervical spine more at C3-4 and C5-6 with malacia of the spinal cord at these levels.

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On examination: the patient is walking with the help of two persons and he had almost paralysis of the right upper and lower limbs and paresis of the left side. He had loss of deep position sense.

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Decompressive laminectomy of C3-6 with partial of C2 was performed, using the high speed drill. There was no epidural fat and there was deformity of the dura at C3-4 resembling a constricting band. Routine closure of the wound.

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Smooth postoperative recovery and slight improvement of the power of four limbs..

Comments

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The patient had compressing elements from behind, for what posterior decompression was performed.

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The malacia of the spinal cord is the morphologic finding and there is no direct relation with the prognosis. The age of the patient and presence of systemic problems playing a negative role in the degree of improvement.

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