interesting case surgery in rheumatoid cervical spine with spondylotic myelopathy l.
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Interesting Case* Surgery in Rheumatoid Cervical Spine with Spondylotic Myelopathy - PowerPoint PPT Presentation


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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

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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
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
Rhematoid Features

Severe Changes

ErosiveArthropathy-

Radiocarpel,Intercarpel,Metacarpo

phalyngeal jts

Minor Enthesophytes-Patella

mri t1 sag axial image
MRI – T1 Sag & Axial Image

Multilevel Spinal Canal Stenosis

Cervical Cord Compression

intra op c arm pic
Intra-Op ,C-Arm Pic

Complex anatomy

Spondylotic Spine

OPERATION- POSTERIOR DECOMPRESSION AND LATERAL MASS FIXATION

slide9
“2 weeks post op”Good Decompression + Lat. Mass Fixation-PATIENT REPORTED SIGNIFICANT IMPROVEMENT IN SYMPTOMS

Lateral:

Ap :

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