2023 Volume 14 Issue 10 Pages 1340-1344
We report a case of posterior decompression with instrumented fusion in patient with cervical radiculopathy refractory to conservative treatment caused by foraminal stenosis due to cervical posterior spondylolisthesis.
A 47-year-old woman presented to with a chief complaint of right upper extremity pain and numbness.
She was diagnosed cervical radiculopathy based on neurological examination and imaging tests.
The neurological symptoms were numbness and pain from the right neck to the right upper extremity.
X-ray images showed a C5 posterior spondylolisthesis and MRI showed right foraminal stenosis between C5 and C6.
CT showed degeneration of the C5/C6 disc and bone spurs.
The patient was diagnosed with right C6 radiculopathy due to right C5/C6 intervertebral foramen narrowing caused by posterior slip of the cervical spine, which was thought to have resulted in radiculopathy.
Surgical treatment was planned, and a C5 total laminectomy, C6 partial laminectomy, right C5/C6 foraminotomy, and C5-6 posterior decompression and corrective fixation were performed to correct the slipped right C5.
After the surgery, symptoms completely disappeared immidiately, and No recurrence of the symptom was observed as of two years after surgery.
Posterior decompression with instrumented fusion was effective in treating cervical radiculopathy due to intervertebral foraminal stenosis with cervical posterior spondylolisthesis.
