During this surgery, neurophysiologic monitoring of the quadriceps muscle showed a decrease in the quadriceps responses, but no such abnormality in the anterior tibialis. After an uncomplicated anterior revision surgery, the patient also underwent a staged delayed posterior arthrodesis and decompression. Six months postoperatively, she had complete resolution of her femoral neuropathy and ambulated without assistance.Ī 59-year-old man presented with subacute cauda equina syndrome, neurogenic claudication, and intractable pain from spinal stenosis and adjacent level deterioration several years after an L4 to L5 fusion and kyphotic deformity. ![]() The patient was returned to the operating room to rule out compressive neuropathy, and no evidence was found of either hematoma or extrinsic compression of the femoral nerve. An immediate computed tomography scan of the abdomen/pelvis and spine showed only postoperative changes, with the bone graft and instrumentation in good position ( Figure 1). Immediately postoperatively, the patient had motor and sensory signs of femoral neuropathy: left quadriceps (2/5), iliopsoas (4/5), and decreased sensation over the anteromedial aspect of her left leg. EMG monitoring, both free-running and evoked, showed no abnormalities, but proximal muscles were not being tested. Intraoperatively, a retractor was placed on the left psoas muscle laterally, and another retractor blade was placed medially to maintain exposure of the spine. After failure to improve with nonoperative treatment measures, the patient underwent a revision anterior and posterior fusion from L4 to S1. Imaging studies showed pseudoarthrosis at L5 to S1 with concurrent spondylolisthesis at L4 to L5. I am forever a Chief and there’s nowhere else I’d rather be.”Īlthough Schwartz was drafted a Cleveland Brown, his heart remains in Kansas City.A 51-year-old woman presented with recurrent intractable low back pain after an anteroposterior lumbar fusion for medically refractory diskitis at L5 to S1. ”This city and its support is hard to describe until you’ve felt it personally. He is the best coach you can ask for… an even better person… To Brett Veach and Brandit Tiflis for their ability to put a championship team on the field… Andy Heck for his steadiness and leadership in the OL room.”įinally, Schwartz wrapped up his update thanking all of Kansas City and Chiefs fans alike. ”Thank you to Andy Reid for bringing me to Kansas City. Of course, he shouted out the personnel in Kansas City as well: ”Jim Michalczik, my college OL Coach and the one who taught me the fundamentals and principles I used my entire career… The Cleveland Browns and Tom Heckert for drafting me… George Warhop, my first NFL OL Coach…” He also gave special thanks to his family, and a number of other individuals: Winning the Super Bowl was the pinnacle of my career.” ”I’ve enjoyed so much about my time in the NFL and am walking away feeling very fulfilled. In his farewell note, he paid homage to the 2019-2020 Chiefs team who won Super Bowl 54: He missed out on the Chiefs second Super Bowl appearance, and Chiefs fans have anxiously been awaiting an update on his health ever since - quietly hoping that he would someday return. In 2020, the ninth season of Schwartz’s career, his season was cut short when he suffered a back injury in Week 6. The former All-Pro tackle (first-team in 2018 second team in 2016, 2017, and 2019) and Super Bowl 54 champion was a staple of the Chiefs’ evolution into the kings of the AFC. The nerve pain down my legs is no longer a daily occurrence, but it might never fully go away.” Longtime Chiefs OT Mitchell Schwartz officially retires from the NFL I’m currently feeling as good as I have since then, but it’s cleat my body won’t ever be the same. I had surgery last February and have been doing rehab ever since. It’s been almost two years since I injured my back. Schwartz offered some insight as to why he finally decided it was time to hang up his cleats:
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