Improper C4-7 Fusion with Surgical Revision and Repair
This exhibit depicts the improper fusion of C4-7 with subsequent surgical revision. Pre-operatively, the partially removed bodies of C5 and C6 can be seen compressing the spinal canal, with improper placement of a strut graft between C5 and C7. A two level plate was inappropriately used to span three vertebral levels, causing reversal of cervical lordosis. The top screws were improperly situated within the C4-5 disc, resulting in dislodgment of the plate anteriorly. The esophagus was ruptured by the hardware, and one of the screws was subsequently ingested. Surgical revision was completed by performing total C5-6 corpectomies, placing a properly sized strut graft, suturing esophageal tears, and securing a three level plate from C4-7 with screws.