Médica Sur

Puente de Piedran150- Torre II Consultorio 107colonia Toriello Guerra CP 14050 Alcaldía Tlapan, CDMX.

Hospital Ángeles Acoxpa

Calzada Acoxpa No. 430 Cons. 15 Col. Ex Hacienda Coapa Alcaldía de Tlalpan, CP 14308, CDMX

Lunes - Viernes: 10:00 - 20:00

URGENCIAS (+52) 552106-1917

Discusión entre pares / 63 yr male…quadriparetic…ASIA C…bowel/bladder involved..

63 yr male…quadriparetic…ASIA C…bowel/bladder involved…what will b adequate surgical decompr and stabilizn?

63 yr male...quadriparetic...ASIA C...bowel/bladder involved...what will b adequate surgical decompr and stabilizn?

  • Sandeep Sonone Plan on radiological picture wud C4C5 corpectomy with C3 to C6 fusion .same stage or second stage post fusion fron C3 to C6 .
    10 horas · Me gusta · 1

  • Pravin Padalkar Sandeep Sonone why c4 c5 corpectomy. It is hardly causing any compression from front

  • Abhishek Ray Sandeep sir…was wondering whether to include C6…don’t want to see in post op CT that compression us still persisting…

  • Senthil T. Nathan I would do a c4/c5 corpectomy , c6/7decompression, ACDF c3-c7 , post fusion as stage 2

  • Abhishek Ray Senthil..just sceptical abt adding 2 more potential non union sites…tell me, would u use a fibula or cage?

  • Ali Öner C3-4 disc removal and decompression, c5 corpectomy or c5-6 disc removal and decompression. 

    Besides decompression surgery, The main goal should be re-arrangement of cervical lordosis, either by long plate (c3-c6), or if not possible, posterior instrumentation should be added.

    By this way, patient will need less corpectomy & Lilly have less chance of pseudoarthrosis.
    6 horas · Editado · Me gusta · 3

  • Niranjan Kavadi I think I would do C4 and 5 corpectomy and take that C6 superior osteophyte then cage and plate. C3 to C6 posterior same day or next couple of days depending on patient condition.

  • Deepak Joshi On this film I think Patient needs decompression at c3-4 and behind c 5 , hybrid construct with ACDF c3-4 and corpectomy c5 with plate c3-6 and then PSIF

  • Vedant Vaksha Patient is melopathic with signal changes & loss of CSF around cord at C3-4, but at the same time shows signal changes at C4-5 & C5-6 also. CSF is present at those levels, but I suspect that there may be dynamic stenosis with associated kyphosis at allVer más
    3 horas · Editado · Me gusta · 3

  • Swetabh Verma To b honest, this is a tough case to manage and with myelomalacic changes and asia c score, the prognosis is guarded..with respect to the mr image, there is more anterior compression at c3-4 and down c6-7 as seen by obliteration of csf sleeve..also as Ver más

  • Pravin Padalkar This spine need primarily correction of alignment and decompression at C34. I would prefer minimum possible to achive goal . C34 C45 ACDF C6 Corpectomy long plate in front And 2nd stage posterior instrumentation

  • Advance Lumbar Spine Technique Get dynamic xrays done. Also show parasagittal and axial T2 images at C3-4 to rule out facet effusion indicating instability.
A %d blogueros les gusta esto: