The patient was operated for posterior third falx hemangiopericytoma
4 years ago and suffered RTA one year ago. He started to complain of
neck pain several months later and weak right upper limb and both
legs within the last month, for what he performed MRI of the
cervical spine which revealed a mass destroying the C4 body and
expanding to the right side anteriorly.
The patient underwent
radical removal of the mass and a fibular graft was harvested from
the right leg and configured to the gap after removal of the C3-4
and C4-5 disci.
The construct was fixed to three level miniplate with 10 mm
screws and fusion of C3 with 5 was performed.
Routine closure of the wound. During the operation check image
intensifier was performed.
Smooth postoperative recovery. The mass was sent for detailed
histological verification. The patient was discharged the next day
with disappearance of his neurological deficits.