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RIGHT ARM PARALYSIS POST ANTERIOR CERVICAL DISCECTOMY.
This case presents a 79-year-old male who had cervical stenosis and spinal cord compression C3 - T1. The surgeon performed an anterior cervical discectomy and fusion with allograft bone and plate C3-C6. Postoperatively he was noted to have increased weakness of his right arm, primarily in the deltoid and biceps as well as some mild weakness in his right lower extremity.
He was sent to rehab where it was discovered he had clear fluid leaking from the incision. He was transferred to the medical center 5 days later where doctors did a repair of the spinal fluid leak and repaired a C4 fracture that was discovered just prior to surgery.
The patient continues to have physical therapy and electrical stimulation, however progress of his right arm has been slow. Due to his disability he is no longer able to work at his job at an insurance company..
Opinion: Even though surgery of any type can be problematic for a patient, post-operative paralysis of this nature appears to be abnormal -- and thus raises the issue of whether the standard of care was violated for this kind of surgery.
[ medQuest/info@medquest.csend.com/06/12/2014 ]
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