The patient returned to the country for treatment after a long time, experiencing gradually increasing weakness and paralysis, unstable walking, reduced grip and limb sensory disorders. Previously, despite examinations at many medical facilities in the UK and Singapore, the disease still progressed severely for the past 7 months.
At Viet Duc Friendship Hospital, MRI results showed that the patient had a multiple-layer cervical spinal stenosis from C4 to C6 due to spinal and disc degeneration, causing serious cervical spinal cord compression. Notably, the narrowest position of the spinal canal was only 3-4mm, posing a potential risk of paralysis if not intervened in time.
Assoc. Prof. Dr. Dinh Ngoc Son - Head of Spinal Surgery Department, Viet Duc Friendship Hospital said: Faced with complex lesions and the risk of spinal cord edema in surgery, the team chose the method of cervical spinal cord removal, bone graft and spinal fixation (ACCF).
According to Assoc. Prof. Son, the surgery was performed with the support of two key factors: Surgery under a microscope helps to clearly magnify the neural-vascular structure, allowing precise operation in a narrow space, minimizing the risk of spinal cord damage.
The neurological monitoring system in surgery (IONM) allows continuous monitoring of nerve conduction, promptly warning when risks affecting the spinal cord appear.
The synchronous coordination between microsurgery techniques and modern neurosurgery technology contributes to optimizing safety throughout the surgery process.
Immediately after surgery, the patient is awake and can sit up early. The symptoms of weakness, paralysis and loss of balance improve significantly. The patient continues to be monitored and participate in rehabilitation programs to soon return to daily life and work.
Doctors assessed that the positive treatment results are thanks to timely intervention, choosing appropriate methods and effectively applying specialized techniques.
