Case Presentation:

Cervical Stenosis - Case 5

History & Physical

  • 60-year-old right-handed lady who presented with electricity and burning type pain together with numbness and tingling in her arms and to a lesser extent her legs, together with urinary incontinence.

  • Her neurological examination showed upper tract signs suggesting spinal cord compression.



Case 5 Image 1

MRI scan of the patient's cervical spine (neck) showed severe stenosis (narrowing) at C4-C5, C5-C6, and C6-C7. Here the x-ray of her cervical spine shows degenerative disk disease of cervical spine.

Surgical Procedure


  • After a comprehensive work-up and eliminating other potential contributing causes of her disease, and an appropriate period of conservative measures, she underwent anterior cervical discectomy and instrumented fusion (ACDF) at C4-C5, C5-C6 and C6-C7.

Case 5 Image 2


Post-op Course


  • She did well postoperatively. She regained her urinary continence. The pain in her upper extremity resolved as well.

Last Updated on Saturday, 02 June 2012 18:34