Lab Studies:
CBC: WBC 1.66 RBC: 4.04, H/H 12.8/39.2, MCV 97.0, Plt 54 CMP/PT/INR: WNL
Other Studies:
X-rays of the left arm <a href="CaseStudyImages/CS1DocIJustYardSaled-744.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <a href="CaseStudyImages/CS2CS1DocIJustYardSa-744.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> , elbow, and scapula: No fractures or malalignment noted.
<br>X-rays of cervical spine: Large bone spur noted on anterior aspect of C6.
<br>X-rays of thoracic spine: normal alignment
<br>CT Cervical Spine: Fracture of posterior elements on left at C7 to C6/7 and C7-T1 facet articulations. Small fracture of the left C6 vertebral process with narrowing of the neuroforamen from fracture fragments <a href="CaseStudyImages/CS4CS3CS2CS1DocIJust-744.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <a href="CaseStudyImages/CS5CS4CS3CS2CS1DocIJ-744.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a>
<br>CT Thoracic Spine: Fracture of medial 5th and 6th rib heads at costotransverse articulations, and of inferolateral T6 endplate.
<br>MRI Cervical Spine: High grade tear of the anterior longitudinal ligament and anterior annulus fibrosus of the C5/6 disc. Mild posterior longitudinal ligament injury with C6/7 disc extrusion with severe central stenosis. Fracture left lateral C7 mass and fracture of C6 osteophyte with normal alignment. <a href="CaseStudyImages/CS3CS2CS1DocIJustYar-744.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a>
<br>Perioperative EMG: within normal limits.
Consultations:
Orthopedic Surgery and Hematology/Oncology
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