FIG. 3.
Following a ground-level fall, this 75-year-old woman had an American Spinal Injury Association (ASIA) motor score (AMS) of 52. Computed tomography (CT) scan indicated swan-neck deformity (panel A) with a Cobb angle of -13 degrees. Magnetic resonance imaging (MRI) indicated a four-segment spinal stenosis and evidence of mild extension distraction injury at C4/C5 skeletal segment (arrow) (panel B), maximum canal compromise (MCC) was 42.3% and intramedullary lesion length (IMLL) was 22.1 mm. Sixty-nine hours following her trauma, a laminectomy was performed (panels C,D). Her post-operative Cobb angle was 24 degrees. Twelve months after discharge her AMS was 85.