Consults
Consult 2 | Consult 3 | Consult 4

Consult 1

Presenter: Dr. Chris Ekong, Regina

Age: 44
Sex: Female
History: Rheumatoid arthritis x 16 years. Neck pain x 3 months.
Examination:

  • External joint deformaties.
  • Neck movement has become uncomfortable.
  • Grade 4 power in all limbs.

Pre-op Xrays
Lateral C-spine xrays in Flexicon, Neutral and extension showing C1-2 instability.

Treatment: What would you do surgically?                                               
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Consult 2
Presenter: Dr. Chris Ekong, Regina

Age:  25
Sex:  Male
History:  Bicyclist hit by a car.  Became paraplegic with slight movement left hip flexor.

Examination:


Pre-op X-rays

 

CT of T-L spine showing T12 L1 fracture dislocation.

 

MRI of T-L spine (T1& T2) showing T12 L1 fracture dislocation.


Treatment: Anterior or posterior stablization??                                               

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