case_images: PMC8823468_01
case_images: Plain radiographs of the cervical spine demonstrating good bony fusion of C5-C6 and adjacent level degeneration from C3-C7.
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case_images: T2-weighted cord signal change most evident at the C3-C4 level. The previously operated level was well fused (Figs. 1-3).
case_images: MRI T2-weighted sequences showing multilevel degenerative pathology most significant at C3-C4, where there is severe spinal canal stenosis with cord signal change suggesting myelomalacia.
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case_images: PMC8823468_01_bmed-11-01-051-g002.jpg
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case_images: T2-weighted cord signal change most evident at the C3-C4 level. The previously operated level was well fused (Figs. 1-3).
case_images: CT cervical spine demonstrating good bony fusion of C5-C6 and adjacent level degeneration from C3-C7.
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case_images: PMC8823468_01_bmed-11-01-051-g003.jpg
case_images: f3-bmed-11-01-051
case_images: T2-weighted cord signal change most evident at the C3-C4 level. The previously operated level was well fused (Figs. 1-3).
case_images: Immediate post op X-rays after C3-C5 ACDF demonstrating satisfactory placement of the implants.
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case_images: The patient underwent C3-C5 ACDF via a left-sided approach, contralateral to the index surgery to minimise dissection through scar tissue (Fig. 4).
case_images: Right vocal cord paralysed in abducted position on phonation, with left vocal cord demonstrating good movement from abduction (a) to adduction (b).
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case_images: Formal otorhinolaryngological assessment by flexible nasoendoscopy revealed a right vocal cord palsy (the side of the previous surgery) in an abducted position on phonation, while the left vocal cord (the acutely operated side) exhibited normal movement (Fig. 5).