A 49-year–old
male had been suffering pain on neck ,shoulder and left arm following a fall
from steps. He had taken treatment from two hospitals without much relief.
Finally he came to Indoamerican Hospital. We did CT Spine & MRI Spine and
found that he has hangman's fracture with right pars interarticularis, left
superior facet of C2-3 facet with C5/C6 disc prolapse causing thecal sac
compression and over exiting nerve roots. Our team discussed the case and it
was decided that if performed well, surgery is the best and least expensive way
to treat of this condition. He underwent posterior C2-C3 stabilization with
rods and screws and grafting followed by C5/C6 anterior cervical discectomy and
fusion with right iliac crest bone grafting and plating. Post operative check,
X ray showed good position of implants and graft. He was later ambulated under
guidance of Physiotherapist on our Neuro rehabilitation centre. Patient was
discharged after a couple of week. On the day of his discharge the patient showed
happiness and gratitude for his permanent relief from pain.
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