A Fixating Dilemma: Unusual Presentation of Anterior Head Tilt and Spasms after Anterior Cervical Fusion Surgery
Abstract
Ajay Challapalli, Colin Campbell and Terence K Gray DO
A 67-year-old male presented to our clinic with a history of severe pain, persistent involuntary spasm of neck and upper back muscles with accompanying forward head tilt and decreased cervical range of motion bilaterally. His past surgical history was significant for anterior cervical spine fusion C6-T1 and posterior spine fusion C4-T3 to correct his medical history of cervical myelopathy and degenerative disc degeneration. Botox was used to help the history of spasm, anterior head tilt, decreased cervical rotation and severe pain. This report aims to analyze the background behind anterior and posterior cervical spine fusion surgery, its potential complications, and offer an insight on how Botox can help solve similar clinical cases.