Presentation
Long tract signs.
Patient Data
Age: 50 years
Gender: Male
From the case:
Cervical canal stenosis
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Canal stenosis worse at C3/4 due to posterior osteophyte disc complex. Associated spinal cord edema at C3/4 extending inferiorly two segments.
From the case:
Cervical canal stenosis
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Anterolisthesis of C4 with respect to C5 on flexion secondary to degenerative facet joints. This likely contributes to canal stenosis at C4/5
Case Discussion
On MRI imaging alone it is difficult to appreciate the facet joint instability at C4/5. This case demonstrates the value of functional imaging.
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