This 68 yo lady was initially doing well recovering from complex kyphoscoliosis surgery. She was discharged from rehab Saturday and then had incresing problems walking.
We had excellent teammork w doctors out near Boone NC to have her urgently transferred  MRI late last night showed huge thoracic disc herniation w fracture and spinal cord compression, shown on left in photo here.

We just finished doing her reconstruction with 2 level laminectomy, bilateral transpedicular discectomy w intraoperative ultrasound to confirm complete decompression.

Surgical time: 4 hour 10 min.
EBL: 850 cc.
Blood transfused: none.

Many thanks to all of the people in western NC and here in Raleigh who worked together to help this woman in this urgent situation.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
https://www.heyclinic.com