Anterior Posterior Cervical Decompression- Fusion and Reconstruction
47 years old patient Ms.Glenda falld down by walking in the street in February 2020. At the location of the accident was the patient paralyzed and couldn’t move her arms and legs for minutes. Ms. Glenda came to Dr. Basil 1 week later for a third opinion. Dr. Basil was the first surgeon , who diagnosed an OPLL ( ossified posterior longitudinal ligament ) C4/5 and C5/6 ( see video) with absolute bony stenosis of the spinal canal C4-C6 and severe Myelopathy/ Contusio spinalis ( injury to the spinal cord due to severe compression that may result from trauma, congenital stenosis, degenerative disease or disc herniation.) The Patient had preoperitavely severe Ataxia ( unsteady gait ) , Paralyzed in her Right Arm and had numbness in the upper and lower limbs and couldn’t walk without support. Dr. Basil performed a very complicated and critical surgery by the patient and removed microscopic tow vertebras C4 and C5 to decompress the spinal cord after adhesiolysis the Bone from the Thecal sack. Then he reconstruct the spinal Alignment with vertebral body replacement C4 and C5 with Platte and screws from the front ( anterior) and 4 days later from the back ( posterior) screws fixation C3-C6 for the maximal stability. Both surgeries done without complications. The patient could mobilized after the first surgery and her gait improved very well. Now 3 months post surgery Ms. Glenda recovered completely, no weakness more, no numbness and can walk properly without any support and she works again. Dr. Basil Al Sharef is German and Swiss Board Certified Consultant Orthopedic Spine surgeon treat all spinal pathologies, specialized in reconstructive complex spine surgery and revision surgery
posterior instrumented Decompression- reposition Spondylodesis with intersomatic Fusion in TLIF Technique and posterolateral Spondylodesis by Lytic Spondylolisthesis L5/S1 Meyerding Grad I with severe progressive Lumbo- Sciatic Pain.