42-year-old female with a history of an anterior cervical fusion. There is an anterior plate with screws entering C4, C5, and C6. No hardware complications are identified. There are intervertebral spacers with bone graft at C4-C5 and at C5-C6 with perhaps early bony bridging at these levels. Moderate degenerative disc disease is present at C6-C7. There is mild to moderate multilevel facet joint osteoarthritis, particularly on the left. Straightening of the cervical spine is noted.
Orthopedic fixation of the cervical spine as described above.