Post-surgical radiographs obtained on August 1st revealed appropriate fusion at the C4-C5 level.

The patient describes significant disability following his surgery, worse than after his accident. He has become increasingly reliant on assistance with activities of daily living. He states his activity level has decreased due to his pain and urinary incontinence. He continues to receive chiropractic therapeutic modalities.

Prior to his accident, the patient reports that he was “very active” and in “excellent health.” He was employed as an operating room technician until his retirement at age 53. He does have a history of type II Diabetes mellitus and hypertension and states that both are well controlled. Prior injuries include a fracture to his left foot approximately seven years ago and a fracture to his right ankle with subsequent open reduction and internal fixation approximately 15 years ago.

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