Seroma and Epidural Scar
Epidural Hematoma - CT
Epidural Hematoma - MRI
Displaced Strut Graft
Screw in Spinal Canal
Screw in Disc space
Screw Loosening & Hematoma
Screw Backing Out
48 y.o. male with a history of alcohol abuse, depression and degenerative
joint disease who is complaining of severe pain in his right neck and shoulder
radiating down to his right third and fourth digit. The patient underwent
anterior cervical disc fusion. Four months after the initial surgery, the
patient still had pain but this time numbness was on flexion mainly and
localized to the C5 region.
JR, Kahn MR, Hughes SP.
Instability of the cervical spine after anterior interbody fusion. A study
on its incidence and clinical significance in 21 patients. Arch Orthop Trauma Surg. 1985;104(4):247-50.
| Lateral flexion and extension radiographs taken 6 months after
surgery demonstrate incomplete graft incorporation (delayed healing).
Furthermore, with flexion there is anterolisthesis of C4 on C5 (one level below
the fusion) by 2-3 mm.
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