1 / 10

Interesting Case* Surgery in Rheumatoid Cervical Spine with Spondylotic Myelopathy

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

orrin
Download Presentation

Interesting Case* Surgery in Rheumatoid Cervical Spine with Spondylotic Myelopathy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 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

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

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

  4. Pre Op – Severe Spondylosis Lateral: Ap:

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

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

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

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

  9. “2 weeks post op”Good Decompression + Lat. Mass Fixation-PATIENT REPORTED SIGNIFICANT IMPROVEMENT IN SYMPTOMS Lateral: Ap :

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

More Related