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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11-FEBRUARY-2010 SANAD AZEEZ MUHAMED 24 YEARS
PCD C5-6 WITH RIGHT FORAMINAL OCCLUSION.
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Postoperative Check-X-ray demonstrating the alignment of the
cervical disc system
The patient came to the
clinic 01-February-2010 complaining of neck and
right shoulder pain for 5 days with agonizing
pain right upper limb and numbness of the thumb
right hand for 5 days.
30-January-2010 showing extruded disc C5-6 with
right foraminal occlusion with syrinx mid dorsal
On examination: the patient in agonizing pain
with severe pain and limitation of neck movement
when looking to the right and upward. There is
hypalgesia of the right V1+2 down to D2 right
side. He has also hypalgesia of the right lower
lib below the knee. Severe weak grip and
extension right hand 3/5 and the right triceps
4/5. There is also weak dorsiflexion right foot
Discectomy of C5-6 was done and
the extruded disc in the right foramen was
Prestige LP artificial disc
device 6X16 mm was implanted at the C5-6 under
image-intensifier control during all steps of
Routine closure of the wound.
recovery, with improvement of the power of right
Prestige LP Medtronic is an acceptable
option, since there is some wedging of C5 and
insertion of such device could bring some
correction to the alignment of the cervical
The physiologic function of the
cervical spine remain at this damaged level,
which could yield better outcome.
It was preferable to use 6X18 mm
device, which is not available. So as to have
the compromise, the construct was pushed 1 mm
deeper than usual.
Notice: Not all operative activities
can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also
escaped from the plan .