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A 66-year old male presented with central cord syndrome with pain and numbness in both hands. An MRI revealed degenerative spine disease (a, b) with severe canal stenosis due to C3–4 anterolisthesis and C5–6 retrolisthesis. He underwent C4–6 corpectomy and placement of an anterior expandable cage with plating. Posteriorly, he underwent laminectomy followed by C3–C6 lateral mass screws and C7–T1 pedicle screws
