Case Presentation: Multi-Level Fusions in the Cervicothoracic - PowerPoint PPT Presentation

Case Presentation: Multi-Level Fusions in the Cervicothoracic Junction Colin B. Harris, MD Assistant Professor Department of Orthopaedics Rutgers – New Jersey Medical School Newark, NJ

Case • CC: Neck pain • HPI: 49 y/o F transferred from community hospital with progressive neck and upper back pain 4 months after a fall at home. Complains of both dull and sharp intermittent non-radiating pain 8/10 intensity, inability to hold head up. • PMHx: Morbid Obesity (BMI 49), no history of malignancy • PHSx: None • PE: 5/5 strength bilateral UE/LE, no focal sensory deficit, +Hoffman’s, 3 beats clonus B/L

Treatment • Patient placed in cervical tong traction for gradual kyphosis correction for 72 hours • Weight was added in 5lb increments • Staged procedure – C3-C7 ACCF – C3-T3 posterior fusion with inst.

Treatment Pathology: • – Primary breast CA – ER/PR+ – HER2+ Received radiation 4 • weeks postop Ambulatory with • preserved motor/sensory function Neck pain 2/10 • No assistive device •

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