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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22-JULY-2010 HABIB MILUD AL-DANUNI 50 YEARS
EXTRUDED DISC C5-6 AND C6-7 WITH LEFT FORAMINAL OCCLUSION AT C6-7.
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to the clinic 20-July-2010 complaining of
neck and left shoulder pain with numbness all
fingers left hand for 45 days.
MRI cervical spine
performed 12-July-2010 showing PCD C5-6 central
and C6-7 with left foraminal occlusion with
bulging C4-5 with compression of the spinal cord
at C6-7 level.
On examination: the
patient has weak grip left hand 4/5 extension
left hand 3/5, the triceps left arm 2/5 and the
right arm 3/5.There is no frozen shoulder and
the patient is a known diabetic for 6 years.
Discectomy of C5-6
and C6-7 with removal of the compressing
fragments at the left foramen of C6-7. Insertion
of Fidji cages 17 mm width 6.3 height and 12 mm
depth was inserted to the C5-6 level with
novabone. Another cage 17 mm width, 6.1 mm
height and 12 mm depth was inserted with
novabone to the C6-7 level. Using Trinica Zimmer
miniplate 2 level 44 mm length was used to fuse
C5-6-7. Image-intensifier was used at all stages
of the operation.
Routine closure of
the wound and smooth postoperative recovery.
The power of both
upper limbs dramatically improved immediately
There are a lot cervical
miniplates in the market. Some has some
advantages and disadvantages. It seems that this
brand is ranking in the high standard of its
specifications. Time will tell more in the
It became a usual practice to
put the cages with the miniplates at the
discectomy site to avoid future stress in the
construct and keep the anatomical alignments, to
avoid sandwich compression at the foramen level
. Fidji brand is designed to conform with the
space of the disc cavity, thus the upper and
lower endplates of the removed disc will fit
exactly with construct.
X-ray 6 hours after surgery after
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 .