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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29-MARCH-2009 REHAB FAWAZ SAWAQED 50 YEARS
PCD C5-6 WITH RIGHT FORAMINAL OCCLUSION.
The patient came to the
clinic 04-March-2009 complaining of severe
neck pain and right upper limb pain for 5 months
with inability to sleep the last 10 days due to
pain. The patient performed MRI cervical spine
19-January-2009 which was bad quality and showed
possible extrusion of C5-6 with foraminal
On examination the patient is
a known diabetic with arterial hypertension and
in L-thyroxin for 5 years. She is in agonizing
pain with pain and limitation of neck movement.
The grip and extension of the right hand was 3/5
and weak right triceps muscle 3/5. There was
hypalgesia of the thumb of the right hand.
The patient was sent another
time for MRI study, which confirmed the presence
of huge extrusion with total occlusion of the
right foramen at C5-6 level.
Discectomy of C5-6 was
performed using image-intensifier and the
extruded disc in the right side was removed in
several pieces. The dura was seen in the right
2/3 of the annulus fibrosis. It was lax and
further exploration for remnants was negative.
Routine closure of the wound.
Smooth postoperative recovery
and the power of the right upper limb normalized
immediately after surgery.
The patient has extruded disc
C5-6 with severe compression of the right
foramen with subsequent compression of the root
with agonizing pain.
Since the period of suffering
is not long, prompt recovery is the rule and the
good news, that recurrence in cervical disc
surgery is zero.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
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 .