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A Case of Successful Foraminotomy for Severe Bilateral C5 Palsy following Posterior Decompression and Fusion Surgery for Cervical Ossification of Posterior Longitudinal Ligament
Joint Authors
Toyone, Tomoaki
Kudo, Yoshifumi
Shirahata, Toshiyuki
Ozawa, Tomoyuki
Matsuoka, Akira
Jin, Yoichi
Inagaki, Katsunori
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-09-08
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We report a very rare (5~7%) case of bilateral C5 palsy after cervical surgery.
A 71-year-old male patient with cervical ossification of posterior longitudinal ligament (OPLL) with foraminal stenosis at bilateral C4/5 underwent posterior decompression and fusion surgery.
After surgery, muscle weakness in his both deltoid and biceps was detected and gradually deteriorated to complete paralysis.
Postoperative MRI showed sufficient decompression of the spinal cord and posterior shifting.
Subsequently, an additional bilateral foraminotomy at C4/5 was performed, with a suspicion that bilateral foraminal stenosis at C4/5 may have been the cause of the paresis.
After foraminotomy, muscular contraction was seen in both deltoid and biceps.
Finally, complete motor recovery was achieved in a year.
Although the gold standard procedure for the prevention and treatment of postoperative C5 palsy has not yet been established, an additional foraminotomy may be recommended for severe C5 palsy in cases of foraminal stenosis even after the occurrence of palsy.
American Psychological Association (APA)
Kudo, Yoshifumi& Toyone, Tomoaki& Shirahata, Toshiyuki& Ozawa, Tomoyuki& Matsuoka, Akira& Jin, Yoichi…[et al.]. 2016. A Case of Successful Foraminotomy for Severe Bilateral C5 Palsy following Posterior Decompression and Fusion Surgery for Cervical Ossification of Posterior Longitudinal Ligament. Case Reports in Orthopedics،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101909
Modern Language Association (MLA)
Kudo, Yoshifumi…[et al.]. A Case of Successful Foraminotomy for Severe Bilateral C5 Palsy following Posterior Decompression and Fusion Surgery for Cervical Ossification of Posterior Longitudinal Ligament. Case Reports in Orthopedics No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1101909
American Medical Association (AMA)
Kudo, Yoshifumi& Toyone, Tomoaki& Shirahata, Toshiyuki& Ozawa, Tomoyuki& Matsuoka, Akira& Jin, Yoichi…[et al.]. A Case of Successful Foraminotomy for Severe Bilateral C5 Palsy following Posterior Decompression and Fusion Surgery for Cervical Ossification of Posterior Longitudinal Ligament. Case Reports in Orthopedics. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101909
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101909