2 level Cervical ADR Case Study – J.A.

J.A. - Overview

  • 57 yo male retired military veteran who served in the Army

  • Increasing chronic neck pain

  • Right shoulder and arm radiculopathy

  • Weakness on exam in right deltoid and biceps

  • No left arm symptoms at all

Preop xrays

Preop flex ex xrays

Preop MRI

Mild degenerative disc disease from C4-6

Disc herniations at both C4-5 and C5-6

Preop MRI

Axial through C4-5 showing right central disc herniation causing central and mainly right sided foraminal stenosis

Preop MRI

Axial through C5-6 showing central disc herniation causing central and some right sided foraminal stenosis

Preop MRI

Axial through C6-7 showing left sided disc herniation causing some left sided foraminal stenosis

Patient did not have any left sided symptoms

Intraop Fluoro films

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