The document discusses post-surgical follow-up for a patient with dorsal myelopathy after two surgeries in May-June 2015. The patient exhibited symptoms such as limited foot extension, spasticity, and depression, with a notable weight loss of 13kg and improved neurological function after the procedures. A surgical strategy focused on minimizing muscular disruption and addressing chronic neurological impairment was implemented, and follow-up occurred six months post-surgery.

1. Marco Sassi.
www.marcosassi.com
Post-surgical follow-up in
central & radicular symptoms

2. • May-june2015 two
surgeries for dorsal
myelopathy.
• Evoked potentials:
myelopathy.
IR 22/10/1956, ♀

3. • May-june2015 two
surgeries for dorsal
myelopathy.
• Neurology: foot
extension 3/5. Romberg
+. Spasticity.
Wheelchair. Lasegue
+++ left.
• Obesity
• Claudication
• Depression

4. Surgical Strategy
Avoid muscular disruption of a
second site surgery, on a Patient
previously operated and with a
cronic neurologic impairment.

5. Surgery
• Weight loss
(13Kg)
• Causalgia?
• Neurology: Foot
extension 4/5
(improved), walks
unassisted

6. Follow-Up: 6 months