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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17-DECEMBER-2011 MUHAMED MUSTAFA SAMI SHUKUR 48
YEARS PCD C5-6 WITH RIGHT FORAMINAL OCCLUSION.
patient came from Iraq-Irbil complaining of neck
pain for 21 years with exacerbation last 4 years
and right shoulder and right upper limb pain for
2 years. He was admitted directly to Shmaisani
MRI lumbar spine done 16-December-2011 showing
PCD C5-6 with right foraminal occlusion,
shifting posterior the spinal cord.
examination, the patient has pain when moving
the neck to all directions. He has weak grip
right hand 4/5 and extension right hand -4/5 and
right triceps 3/5. There is also weak quadriceps
femoris 4/5, dorsiflexion right foot -4/5 and
planterflexion right foot 4/5. There is
hypalgesia right S1 territory. MRI lumbar spine
performed 16-December-2011 ruling out the
presence of major disc prolapse in the lumbar
Discectomy of C5-6 was
achieved until the dura was seen in the right
side of the posterior aspect. Discover Depuy
artificial disc 16.7x17.2x8mm was inserted and
all the stages of surgery were under C-arm
closure of the wound. Smooth postoperative
recovery with improvement of the power of the
right upper and lower limbs.
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The patient has radicular and myelopathic
syndrome due to compression of the root and
distortion of the spinal cord.
Considering his age, artificial disc is more
appropriate for him than inserting a cage and
fuse the segment. By applying the disc
prosthesis, more physiologic restoration after
surgery, the patient will regain.
Reformatted postoperative CT-scan showing the device in neutral,
flexion and extension positions.
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 .