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-OCTOBER-2011 FATEN SAADE-EDEEN DABBAKA 42 YEARS
PCD C5-6 WITH LEFT FORAMINAL OCCLUSION.
patient came to the clinic 15-October-2011
complaining of neck pain for 3 years with right
upper limb pain for 1 year and both upper limbs
pain the last 2 weeks with cephalic pain and
pain shooting to the legs upon moving the neck.
cervical spine done 09-October-2011 showing PCD
C5-6 with left foraminal occlusion.
examination: there is weak grip and extension
both hands 4/5 and both triceps more the left
3/5. Dorsiflexion left foot was 4/5.
of C5-6 was done and the entire dura was seen
from the far right to the far left. Using
Prestige Medtronic instrumentation, Prestige LP
cervical system 16x 6 mm was inserted. Check
X-ray with C-arm showed excellent alignment of
the construct. Dynamic studies done showing the
good adaption to the movements.
closure of the wound. Smooth postoperative
recovery and improvement of the power of
Postoperative reformatted CT-scan showing the construct
in flexion and extension.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
The patient is a young woman and cervical
Prestige LP cervical system is an excellent
option for her after removal of the compression.
It was necessary to hemmer the lower part of the
construct for about 1.5 mm to make the upper
part in acceptable alignment. This is due to
straight configuration of the construct. To
resolve this problem, at least an angulation in
the AP must be 3-50 degrees to
prevent such problem and to have more or less
conforming with the disc space.
Medtronic Prestige LP cervical system
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 .