Figures 1 and 2 are preoperative X-Rays that show a narrow spinal canal from birth (congenital spinal stenosis) and radiographic evidence of disc degeneration/herniation.
Figure 4. MRI; arrow points to a level of spinal cord compression
Figure 5A. C3-C4
Figure 5B. C4-C5
Figure 5C. C6-C7
Figure 5D. C6-C7
Figures 5A-5D are axial or overhead views of specific levels of the spine.
The patient was treated with a C3-C7 cervical laminoplasty. The roof of the spinal canal was split and hinged open at each level (eg, C3-C4, C5-C6, C6-C7). The patient’s own bone was affixed to create an expanded arch, increasing space for the spinal cord and nerves while maintaining motion.
Post-operatively, the patient was placed in a soft cervical collar for two weeks.
Figure 6. Post-operative anteroposterior (front to back, AP) x-ray
Figures 7 and 8 demonstrate that surgery maintained cervical (neck) motion.