Case 1 : A 49-year old male had been suffering pain on neck ,shoulder and left arm following a fall from steps. . .
A 49-year–old male had been suffering pain on neck ,shoulder and left arm following a fall from steps. He had taken treatment from two hospitals without much relief. Finally he came to Indoamerican Hospital. We did CT Spine & MRI Spine and found that he has hangman´s fracture with right pars interarticularis, left superior facet of C2-3 facet with C5/C6 disc prolapse causing thecal sac compression and over exiting nerve roots. Our team discussed the case and it was decided that if performed well, surgery is the best and least expensive way to treat of this condition. He underwent posterior C2-C3 stabilization with rods and screws and grafting followed by C5/C6 anterior cervical discectomy and fusion with right iliac crest bone grafting and plating. Post operative check, X ray showed good position of implants and graft. He was later ambulated under guidance of Physiotherapist on our Neuro rehabilitation centre. Patient was discharged after a couple of week. On the day of his discharge the patient showed happiness and gratitude for his permanent relief from pain.