lecture opll progressive
TRANSCRIPT
![Page 1: Lecture OPLL progressive](https://reader031.vdocuments.us/reader031/viewer/2022022201/589bd36f1a28ab92618b6271/html5/thumbnails/1.jpg)
Progressive OPLL s/p laminoplasty
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• 49 year old woman cc: L posterior arm pain L trapezial pain, neck pain, L IF pain
• HPI:C2C7 laminoplasty removing half of C2/C7 plates on C3-6, L C5C6 foramenotomy 1/9/14; initial symptoms 2013 were L shoulder pain elbow, forearm, L hand numbness
• MEDS: Benicar, HCTZ, Lexapro, Lipitor• SH: RHD mother 4 children, cashier and advocate at Wegmans, married• EXAM: 5’3” 210 lb negative clonus, hoffmans, 0/4 dtr normal motor,
normal shoulder exam
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Old images from 2014 postop
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Postop 1/10/14
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Postop 1/10/14
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Postop 1/10/14
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Postop 1/10/14
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c2
c3
Postop 1/10/14
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Postop 1/10/14
C2c3 disc space
C3 pedicle
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Next are recent images
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5/11/16: note progression of OPLL at C2C3
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May 2016 note OPLL At c3, flexion view
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c2c3
c3
May 2016Note increasedOPLL at c2c3
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2014
2016
Compare sagittal imagesTo view progression C2C3
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c6c7
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c5c6
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c4c5
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c3c4
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c2c3
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• Questions:• 1. c2 laminoplasty with plate enough?• 2. remove c3?• 3. fusion to stop progression of disease?• 4. L c6c7 foramenotomy• 5. fusion c2c3, lateral mass screws, fusion c6c7?
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