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Male patient in his mid-50s with progressive paresthesia in his upper extremities and progressive dropping of objects and gait imbalance. He developed significant burning in his upper extremities with weakness proximally in his deltoid and biceps. Imaging revealed significant disc herniations from C3-C5 with severe spinal cord compression, spinal cord signal change and myelomalacia. The patient was a candidate for a C3-C5 anterior cervical discectomy and fusion due to the fact that he failed extensive multimodality conservative therapy. We performed a C3-C5 ACDF, a surgical procedure involving the removal of damaged cervical spinal discs and a bone fusion to replace the damaged bone.
Upon examination at his first follow-up, the patient has been progressing well regarding his upper extremity numbness, tingling and weakness and doesn’t have any significant radiating pain. I expect him to make a full recovery.
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