The patient is a man in his forties with two-level cervical myelopathy, C5-6 and C6-7. He presented with significant balance issues, as well as hyperactive reflexes, neck pain, and numbness going down both of his arms and his legs. His MRI showed us that he had two large disc herniations. The largest was at C6-7, where he also had myelomalacia of the spinal cord, and he also had a cord compressive disc herniation of the C5-6 level. We are going to treat this patient anteriorly because there’s anterior base compression of the spinal cord. Our plan will be to do a two-level anterior discectomy and fusion in a less invasive manner than a traditional ACDF. We’re going to be using a zero-profile device at the two levels; I believe this allows us to do a small dissection with less retraction around the esophagus and ultimately allows the device to be completely within the disc space.
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