Cervical spondylolysis

Case contributed by Dr Paul Simkin

Presentation

Long standing cervical spine pain, pre-operative planning.

Patient Data

Age: 80 years
CT
Sclerosis of the pedicles at multiple levels. At C6, there are well corticated linear lucency running through the pedicles, consistent with spondylolysis. There is advanced degenerative changes involving the atlantoaxial articulation and multilevel degenerative disc disease most severe at C5-6 and C6-7. At C5-6 a posterior disc-osteophyte complex causes moderate narrowing of the spinal canal. Severe multilevel facet joint arthropathy together with uncovertebral joint osteophytes cause moderate to severe narrowing of the neuroforamina bilaterally at all cervical levels.
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Case information

rID: 49616
Case created: 28th Nov 2016
Last edited: 29th Mar 2017
System: Spine
Inclusion in quiz mode: Included

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