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신경외과/Spine

HCD C3/4/5 c OPLL C4 case

by 혀ni 2021. 6. 30.
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x ray에서 보이는 C4 OPLL 소견
Cervical ct에서 C4에 OPLL이 관찰 됨을 확인하였음.
MR상에서 Cervical disc herniation C3/4 4/5 c OPLL C4

MR 상에서 보이는 cord signal change

 

Problem list

HCD C3/4 4/5 c OPLL C4 with cord compression

 

Plan

ACDF C3/4/5 + VBSO(vertebral body sliding osteotomy) C4

 

ACDF C3/4/5 c VBSO c4 시행 후 canal widening 확인할 수 있었음.

Progress

환자 모터 좋아짐 확인함.

 

 

https://www.researchgate.net/figure/Diagram-of-vertebral-body-sliding-osteotomy-The-distance-of-anterior-sliding-a-was_fig1_340486324

 

Figure 1 Diagram of vertebral body sliding osteotomy. The distance of...

Download scientific diagram | Diagram of vertebral body sliding osteotomy. The distance of anterior sliding (a) was defined as the difference between the anteroposterior canal diameters measured through preoperative and postoperative axial computed tomogra

www.researchgate.net

이렇게 수술하는 것...

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