Manoj Krishna,Spine Surgeon. Shailesh Hadgaonkar,Spine Fellow.

Slides:

Advertisements

Similar presentations

ANTERIOR CERVICAL DISCECTOMY WITH FUSION (ACDF)

Advertisements

Acute Cervical Injuries In Football

Salzburg December 2001 Sherlock bones Med Apps Spinal cord injury

Andrej Porčnik Borut Prestor

 Hirayama Disease.  Aka Juvenile Muscular Atrophy of the Distal Upper Extremity  Rare disease that affects predominantly males in their 2 nd or early.

The cervical spine. Normal anatomy, variants and pathology.

Emergency Spinal Radiological Assessment

Evaluation and Treatment of the Cervical Spine

Cervical Kyphosis in Patients Who Have Larsen Syndrome* by CHARLES E. JOHNSTON, JOHN G. BIRCH, and JOHN L. DANIELS J Bone Joint Surg Am Volume 78(4):

Causes and Treatments of Neck and Arm Pain Brian T. Ragel, MD Department of Neurosurgery.

Lecture MRI Spine.

Dynamic MRI Reveals Soft-Tissue Compression Causing Progressive Myelopathy in Postlaminectomy Patients by Sarah Stamm, John W. McClellan, Annie Knierim,

Cervical Spine Pathologies and Treatments Physician Name Physician Institution Date.

MINIMAL ACCESS SURGERY LUMBAR SPINE DR. PARTHA P BISHNU MCh Neurosurgeon.

CERVICAL SPONDYLOSIS DR T.P MOJA STEVE BIKO ACADEMIC HOSPITAL

Surgery for cervical spine disease

Spine and Orthopaedic Institute St Vincent Medical Group

by Raj D. Rao, Bradford L. Currier, Todd J. Albert, Christopher M

Spondylosis Dr.Shamekh M. El-Shamy. Spondylosis.

Rheumatoid Arthritis of the Cervical Spine Zikou Anastasia Radiology Department University Hospital of Ioannina.

The Vertebral Column In General Day 1 Notes. The Vertebral Column in General The vertebral column is a flexible, strong, central axis of vertebrates.

SPINAL NERVE ROOT COMPRESSION AND PERIPHERAL NERVE DISORDERS Group A – AHD Dr. Gary Greenberg.

Copyright © F.A. Davis Company Part IV: Exercise Interventions by Body Region Chapter 15 The Spine: Management Guidelines.

Sciatica Causes and 4 case presentations Manoj Krishna Spinal Surgeon.

Cervical Stenosis and Myelopathy

EXPANSIVE LAMINOPLASTY IN CERVICAL CANAL STENOSIS Deepak Agrawal, B S Sharma, V S Mehta Deptt of Neurosurgery, CN Centre, AIIMS, New Delhi.

Symptomatic Calcifying Pseudotumour of Thoracic Spine which Resolved with the Indomethacin Treatment. A Case Report. Kwan MK 1, Abdelhai AM 2, Saw LB 1,

. Anatomy of spine.

Advantage of posterior cervical foraminotomy for treating spondylotic foraminal stenosis of cervical spine 허리나은 병원 이 재학.

USZ / NRA Imaging of Spinal Stroke Institute of Neuroradiology, University of Zurich, Switzerland.

Operative Treatment of Cervical Spondylotic Myelopathy by Raj D. Rao, Krishnaj Gourab, and Kenny S. David J Bone Joint Surg Am Volume 88(7): July.

Characteristics of Ossified Lesions in the Upper Cervical Spine Associated with Ossification of the Posterior Longitudinal Ligament in the Lower Cervical.

Spinal Laxity, Hypermobility and Instability A Surgeon’s View

LIAO Hui MD Tongji Hospital, HUST

Joseph I. Krajbich MD, FRCS(C) Shriners Hospital Portland, Oregon

Cervical spine Symptoms:

Cervical Laminectomy/Laminoplasty :

Microscopic Cervical Laminectomy In Shifa Medical Complex For Cervical Spondylotic Myelopathy (C S M) DR : HAZEM KUHEIL Consultant NEUROSURGEON.

. Anatomy of spine.

Lt Col Ibrahim Farooq Pasha

Spine Manifestations in Rheumatoid Arthritis

Spinal Deformity and Degeneration

Volume 13, Issue 6, Pages (June 2013)

DIFFUSION TENSOR TRACTOGRAPHY OF THE SPINAL CORD

Fig. 5. A 67-year old female patient with bilateral buttock pain who underwent L4-5-S1 fusion 12 years ago. Sagittal imbalance was found in a whole spine.

Follow up CT scan on 20 year old male with back pain

Spinal Instability Diagnosis & Care

Cervical Spine Assessment

Results Introduction Objective Methodology Conclusion

Amin Jahanbakhshi M.D. , Guive Sharifi M.D. , Kaveh Ebrahim Zadeh M.D.

Imaging studies in a patient with cervical spondylosis and chronic neck pain. (A) Radiograph showing collapsed disk space between C5 and C6 and a large.

Spine Surgery WHO NEEDS IT?

Irene A. Young, MD, Stephen P. Burns, MD, James W. Little, MD, PhD

Ann Noelle Poncelet and Andrew P. Rose-Innes

Posterior surgery for Cervical Spondylotic Myelopathy Mehmet Zileli, M

Irene A. Young, MD, Stephen P. Burns, MD, James W. Little, MD, PhD

Efficacy of diffusion tensor imaging in identification of degenerative cervical spondylotic myelopathy Monika Nukala, Jini Abraham, Ganesh Khandige,

19,628 operations in NSW for LSS between 2003 and 2013

A 45 YEAR OLD WOMAN WITH PROGRESSIVE WEAKNESS

Neurology Resident and Fellow Section

Lateral radiographs demonstrating the corrected spinal alignment and stability resulting from the anterior fusion at C4 through C6 with bone graft restoring.

Figure Spinal cord imaging (A, B) Sagittal and axial T2-weighted cervical spine MRI demonstrating hyperintensities in the central gray matter of patient.

(A) Lateral x-ray of the cervical spine of a 56-year-old male with Down syndrome and progressive myelopathy. (A) Lateral x-ray of the cervical spine of.

Preoperative T2 MRI images of the cervical spine at a) C3-4, b) C4-5, and c) C5-6 demonstrating multilevel disc disease, spondylosis, and nerve root impingement.

Pathology of DCM. (A) Anatomy of an initially healthy spine (C2 level), with examples of the potential pathological changes that can occur and cause DCM.

Fig. 1. Radiological features of the patient with reintubation after ACSS. (A) A 73-year-old male patient (case No. 9) showing herniated intervertebral.

A–C, Sagittal T1-weighted (A), sagittal T2-weighted (B), and axial T2-weighted (C) MR images of the cervical spine in a patient with severe myelopathy.

Acute subdural hematoma in a high school football player requiring emergent decompressive craniectomy Christine C. Center *University of Nebraska at Omaha,

Posterior microscopic tubular cervical foraminotomy (PMTCF)

Presentation transcript:

Interesting Case* Surgery in Rheumatoid Cervical Spine with Spondylotic Myelopathy Manoj Krishna,Spine Surgeon. Shailesh Hadgaonkar,Spine Fellow. Spinal Unit, University Hospital North Tees, Stockton OnTees

Clinical Story 62 yr/m,came with Imbalance Neck pain-on & off Difficulty in performing fine functions He was diagnosed c/o RA

Rhematoid Features Minor Enthesophytes-Patella ErosiveArthropathy- Severe Changes ErosiveArthropathy- Radiocarpel,Intercarpel,Metacarpo phalyngeal jts Minor Enthesophytes-Patella

Pre Op – Severe Spondylosis Lateral: Ap:

MRI- multi-level compression of the spinal cord Sag T2 Multilevel affection

MRI – T1 Sag & Axial Image Cervical Cord Compression Multilevel Spinal Canal Stenosis Cervical Cord Compression

Intra-Op ,C-Arm Pic Complex anatomy Spondylotic Spine OPERATION- POSTERIOR DECOMPRESSION AND LATERAL MASS FIXATION

Immediate Post op X ray-Day 1 Lateral: AP:

“2 weeks post op” Good Decompression + Lat “2 weeks post op” Good Decompression + Lat. Mass Fixation- PATIENT REPORTED SIGNIFICANT IMPROVEMENT IN SYMPTOMS Lateral: Ap :

LEARNING POINTS Cervical Myelopathy is common in patients with Rheumatoid Arthritis Posterior decompression and stabilization offers a good alternative to anterior surgery