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
The patient is a Yemeni citizen started to complain of neck pain for 2 years with bilateral radicular signs and weak upper limbs more the left side with left sciatica in the last 6 months and LBP for 2 months. MRI performed 29-May-2005 showed OPLL with severe CCS more prominent at C4-5 and C6-7 levels associated with malacia of the spinal cord at these levels. The patient had walking difficulty with weak grip and extension both hands, right biceps brachii, and both triceps more in the left side. Hoffmann sign positive both sides . He had also weak dorsiflexion both feet. The patient was operated and trying to put one device to fix the C4 through C7 was tried, but got the feeling that it is better to decompress the C5-6 and fuse separately C4-5 and C6-7.