Lecture OPLL progressive

Progressive OPLL s/p laminoplasty

• 49 year old woman cc: L posterior arm pain L trapezial pain, neck pain, L IF pain

• HPI:C2C7 laminoplasty removing half of C2/C7 plates on C3-6, L C5C6 foramenotomy 1/9/14; initial symptoms 2013 were L shoulder pain elbow, forearm, L hand numbness

• MEDS: Benicar, HCTZ, Lexapro, Lipitor• SH: RHD mother 4 children, cashier and advocate at Wegmans, married• EXAM: 5’3” 210 lb negative clonus, hoffmans, 0/4 dtr normal motor,

normal shoulder exam

Old images from 2014 postop

Postop 1/10/14

C2c3 disc space

C3 pedicle

Next are recent images

5/11/16: note progression of OPLL at C2C3

May 2016 note OPLL At c3, flexion view

May 2016Note increasedOPLL at c2c3

Compare sagittal imagesTo view progression C2C3

• Questions:• 1. c2 laminoplasty with plate enough?• 2. remove c3?• 3. fusion to stop progression of disease?• 4. L c6c7 foramenotomy• 5. fusion c2c3, lateral mass screws, fusion c6c7?

Lecture OPLL progressive

Education

Transcript of Lecture OPLL progressive

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Lecture 6 Tense and Aspect 1. Simple Present 2. Simple Past 3. Present Progressive 4. Past Progressive 5. Present Perfective 6. Past Perfective 7. Present.

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K. Yonenobu · K. Nakamura · Y. Toyama (Eds.) OPLL · Cloward method often caused paraplegia. In the 1960s, patients with OPLL thus remained unhappy even after surgery; it was a

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Lecture 12 Tense and Aspect (II) 12.1 Uses of present perfective (progressive) 12.2 Uses of past perfective (progressive) 12.3 More on the use of perfective.