Male patient in his mid-60s with progressive paracervical pain along with bilateral upper extremity numbness and tingling that radiated into both hands. He experienced discoordination and deterioration of ambulatory capacity. An MRI of his cervical spine revealed severe spinal cord compression at the C3-4, C4-5, C5-6 levels in addition to broad-based disc herniations with deformation of the spinal cord. This caused severe central and bilateral foraminal stenosis – a narrowing of the cervical disc space that is caused by the enlargement of a joint in the spinal canal. Given his symptoms and the significant cervical myelopathy, he was a candidate for a C3 to C6 anterior cervical discectomy and fusion (ACDF).
The patient is doing well post-surgery and is expected to make a full recovery with reversal of symptoms.