The patient came to the clinic 29-November-2010 complaining of numbness both upper limbs ulnar division for two months.

MRI cervical spine performed 25-November-2010 showing huge wide based extrusion C5-6  compressing the spinal cord with malacia of the later, with bulge C4-5.

On examination: The patient  has no neck pain, but has hypalgesia both ulnar territories of the hands with weak grip and extension of both hands 4/5 and both triceps muscles 4/5. The weakness is more profound in the left with hypotrophy of the interossii left hand. There is no myelopathic syndrome.

Using image-intensifier, discectomy of C5-6 was performed and osteophytectomy to achieve complete decompression of the spinal cord. The dura was thin and transparent.

Routine closure of the wound. Smooth postoperative recovery and improvement of the power of both upper limbs.

The patient had no neck pain, but the spinal cord was severely damaged by the compression at C5-6.

It was explained to the patient the various options for his surgery and he decided to perform simple discectomy without using artificial disc or cages.

Recurrence rate in cervical disc surgery is zero.