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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25-AUGUST-2010 FATINA SALEM FANOOSH 62 YEARS
SEVERE CERVICAL STENOSIS C3-4, 4-5 AND 5-6 WITH RADICULOMYELOPATHIC SYNDROME.
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to the clinic 07-August-2010 complaining of neck
pain, weak both quadriparesis and numbness both
upper limbs for 5 years with progressive course.
22-February-2010 showing PCD C3-4, C4-5 and C5-6
resulting in severe cervical canal stenosis.
On examination: the
patient has neck pain when looking to all
directions with weak deltoids -4/5, biceps
brachii 3/5, grip and extension both hands
and triceps 2/5. with weak dorsiflexion both
feet 4/5. She had hypalgesia both upper limbs
from C3 root territory down to C7 both sides.
were repeated and performed 10-August-2010
showing residual after old left mastoiditis
and stenosis left vertebral artery at its origin
with severe cervical stenosis C3-4, 4-5 and 5-6
with malacia of the spinal cord at these levels.
C3-4, C4-5 and C5-6 was performed. Insertion of
Fidji cages 15X12X6.9 mm were inserted at the
discectomized levels. Using Trinica 3 level
cervical plate 59 mm length, fusion of C3-4-5-6
was performed with 14 mm 4.5 mm screws. All
stages of the surgery were done with the control
Routine closure of
the wound and smooth postoperative recovery with
slight improvement of the power of four limbs.
The anterior decompression
was a must because the extruded disci played the
major part in compressing the spinal cord.
The extruded disc of C3-4 was
central and compressing the anterior spinal
artery caused the clinical picture of anterior
spinal artery syndrome.
postoperative check cervical X-rays.
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 .