Thursday, January 3, 2008

Jan 2 2008 Hey Clinic Surgery (PM Case): 61 yo executive from Tennessee with severe myelopathy with severe thoracic stenosis, with falls, clumsiness and weakness

This gentleman had several month history of progressive lower extremity weakness and numbness and clumsiness, with falls.
This began after doing a lot of lifting when moving to new home on a golf course.
His MRI and CT scan showed severe stenosis T89 and T9-T10, mostly from posterior ligamentous and facet hypertrophy, and some disc bulging.
His surgery went very well with CT-guided level confirmation, and intra-operative evoked potential motor and sensory monitoring, and intra-op ultrasound that confirmed an excellent decompression of the spinal cord.
His preop evoked potentials showed no motor potentials, and weak sensory.

Postoperatively, he has done just great.
He was up walking around with a stable gait several times today, with much improved balance, and improved sensation and strength.
He goes home to Tennessee tomorrow, looking forward to play golf later this spring/summer as cord recovers.

Lloyd A. Hey, MD MS
http://www.HeyClinic.com
Hey Clinic for Scoliosis and Spine Surgery
Raleigh, NC USA

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