We would like to graciously acknowledge Anthony Burns, MD for his contribution to the development of this case study.
Mrs. MM is a 45 year old woman who has been working as a personal support worker in a group home for the past 14 years. She has a long history of back pain, and has been experiencing progressive difficulty with walking over the last year. A recent MRI showed multiple disc herniations, with compression at C5-C6. She was diagnosed with cervical spondylosis, and underwent a surgical laminectomy 1 month ago. Although the etiology of her myelopathy was non-traumatic and the onset gradual, when evaluated according to the International Standards for the Neurological Classification of Spinal Cord Injury, she would be classified as a C5-C6 AIS D spinal cord injury.
Figure 1. Margaret’s presenting condition
Figure 2C5-C6 spinal cord injury. From Medical Illustration© 2010 Nucleus Medical Media, Inc
Figure 3.Cervical disc herniations at C4-5 and C5-C6 with spinal cord compression at C5-6
Figure 4. Standard neurological classification of spinal cord injury for Mrs. Miller.