Hospital: George Washington University, Spine Service
History: PMHX: Post Herpetic neuralgia, sarcoidosis Meds: Oxycontin 80 TID, Prednisone 80 daily PSurHX: LEFT aortic dacron graft in iliac vessel
Work-Up: Exam: 5/5 Strength IP, Q, TA, EHL, GS Sensation Decreased to light touch on LEFT S1 dermatome Normo-reflexic 66 year old with progressive pain in back and legs. Radiates to RIGHT anterior thigh and left buttocks and bottom of foot
Created by ACSS Admin Created at 9/11/2012 9:56 AM Changed by ACSS Admin Changed at 9/11/2012 9:56 AM
Surgeon(s): A. Nick Shamie, MD
Hospital: UCLA School of Medicine
History: History: 42 yo male, electrician No significant medical co-morbidity... Except he is a smoker Had Right CTR Right arm radiculopathy Difficulty with fine motor activity ie.
Work-Up: Physical exam: No weakness Decreased sensation in C5, C6 Bilateral Hoffman’s, Inverted radial reflex Positive Spurling’s on the right in C6 dermatome Wide based gait Buttoning his shirt and twisting the wires at work 42 yr male, electrician. No significant medical co-morbidity...Except he is a smoker. Had Right CTR, Right arm radiculopathy, Difficulty with fine motor activity.
Treatment: Best Surgical Option? 1. ACDF C3-4 and C4-5 2. Corpectomy C4 3. Corpectomy C4 and ACDF C6-7 4. Lamincetomy 5. Laminectomy and Fusion 6. Laminaplasty
Created by ACSS Admin Created at 9/11/2012 10:11 AM Changed by ACSS Admin Changed at 9/11/2012 10:11 AM