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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15-FEBRUARY-2010 MUNA ISHAQ SHABAN 31 YEARS
HUGE EXTRUDED DISC C5-6 WITH LEFT FORAMINAL OCCLUSION AND OLD MILD EXTRUDED DISC
C6-7 LEFT SIDE.
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was admitted to Shmaisani hospital
14-February-2010 complaining of neck pain for
three years, increase the last 4 months with
left shoulder and left upper limb pain
associated with numbness of the fingers left
MRI cervical spine
performed 18-October-2007 showed small PCD C5-6
and C6-7 left side. MRI repeated 02-January-2010
showed huge extrusion of C5-6 compressing the
left foramen and old extrusion of C6-7
On examination: the patient
is in agonizing pain and has weak grip, flexion
left hand and left triceps muscle 3/5 and weak
biceps 4/5. There is hypalgesia little finger
left hand. There is severe pain with movement
restriction of the neck in all directions.
Discectomy of C6-7 was done to remove the
intradiscal material through minor hole to
prevent future recurrence, Meticulous discectomy
C5-6 was done and the extruded disc occluding
the left foramen was removed. Using
Prestige LP Medtronic 6X16 mm
dimensions the artificial disc was inserted at
C5-6 level and all the stages were checked using
Routine closure of the wound.
recovery, with normalization of the power of the
left upper limb with
of the same limb.
The indication for
surgery was the PCD C5-6 and it was aided with
Prestige LP Medtronic cervical system to improve
the neurological outcome.
Using this moment,
intradiscal cleaning of C6-7 was a good option
to prevent future recurrence or escalation at
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 .