Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit
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05-NOVEMBER-2008 HABEEB HUSIEN MUHAMED 27 YEARS PCD C5-6 WITH
RIGHT FORAMINAL OCCLUSION.
The patient came to Dr. Ali
Al-Bayyati complaining of severe neck pain and
right upper limb pain for 4 months with
exacerbation of pain the last month, depriving
MRI cervical spine performed
showing huge extrusion C5-6 right side with
foraminal occlusion and small PCD C6-7 left
On examination: The patient
has neck movement limitation and pain when
looking to the right and all directions with
weak grip right hand 4/5, extension the right
hand 3/5 and right triceps 2/5. There is
numbness and hypalgesia of the thumb and index
finger right hand.
Discectomy of C5-6 was done
until the dura was seen in the right side of the
field and inspection of the exit foramen of
right C5-6 ruled out any remnant. Intradiscal
decompression of C6-7 was also performed to
reduce extrusion of the C6=7 disc in the future.
Smooth recovery with prompt
improvement of the power of the right upper
The patient having gross
neurologic deficit and agonizing pain. The major
problem was the C5-6 disc extrusion.
The expected recurrence rate
in this case is zero. The unco-vertebral joint
of C5-6 was not violated in the right side so as
to minimize the postoperative pain. The C6-7
disc was intradiscally decompressed to prevent
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Notice: Head injuries and very urgent surgeries are also
escaped from the plan .