came to the clinic 15-February-2011 complaining
of neck pain with both shoulders more the left
for more than 8 months with exacerbation of the
pain in the left upper limb the last 3 months
with numbness of the left hand.
examination: The patient has pain when
turning the head to all directions with severe
weak grip and extension left hand 3/5 and the
left triceps 3/5.
patient sent for MRI cervical spine, which was
performed and showed PCD C5-6 with left
foraminal occlusion and central small extrusion
Discectomy of C5-6 with removal of the extruded
disc and osteophytectomy of the left posterior
border of C5-6 was achieved and check for any
pieces was performed. The dura was stuck with
the elements of the posterior longitudinal
ligament. It was not violated. Intradiscal
decompression of C4-5. Fidji cage
12x15x4.5 mm with Novabone inserted to C4-5 and
another cage 12x15x6.1 mm to the C5-6 space.
Using Trinica plate 44 mm 2 level plate fusion
of C4-5-6 was performed using 2 screws 14x4.2
at the C4 and 16x4.2 m at C5 and C6 bodies.
closure of the wound. Smooth postoperative
recovery with normalization of the power of left