PMC8823468_01
Plain radiographs of the cervical spine demonstrating good bony fusion of C5-C6 and adjacent level degeneration from C3-C7.
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T2-weighted cord signal change most evident at the C3-C4 level. The previously operated level was well fused (Figs. 1-3).
MRI T2-weighted sequences showing multilevel degenerative pathology most significant at C3-C4, where there is severe spinal canal stenosis with cord signal change suggesting myelomalacia.
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T2-weighted cord signal change most evident at the C3-C4 level. The previously operated level was well fused (Figs. 1-3).
CT cervical spine demonstrating good bony fusion of C5-C6 and adjacent level degeneration from C3-C7.
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T2-weighted cord signal change most evident at the C3-C4 level. The previously operated level was well fused (Figs. 1-3).
Immediate post op X-rays after C3-C5 ACDF demonstrating satisfactory placement of the implants.
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The patient underwent C3-C5 ACDF via a left-sided approach, contralateral to the index surgery to minimise dissection through scar tissue (Fig. 4).
Right vocal cord paralysed in abducted position on phonation, with left vocal cord demonstrating good movement from abduction (a) to adduction (b).
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Formal otorhinolaryngological assessment by flexible nasoendoscopy revealed a right vocal cord palsy (the side of the previous surgery) in an abducted position on phonation, while the left vocal cord (the acutely operated side) exhibited normal movement (Fig. 5).