39 years old orthopedic collegue presented with significant signs of cervical myelopathy.
In discussions with my colleagues who was well aware of risks and complications involved. An open approach was planned everything needed for ACDF / Corpectomy and posterior approach was kept. Plan was to attempt ACDF under Neuromonitering with attempted drilling and removal of OPLL. Corpectomy and posterior approach were kept as back up options.
Fortunately it was feasible to successfully remove the OPLL completely and it was confirmed under intraoperative CT. Intraoperative navigation and navigation ultrasonic scalpel were kept as back up.
Orthopedic colleagues is doing well showing good signs of recovery.
