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

Thank you