The patient came to the clinic 19-October-2004 complaining of LBP with left sciatica for 15 years. Falling down 3 years ago. The left hand weak since childhood. The patient cannot walk the last 3 years with neck pain and right upper limb pain. Weak right hand for 6 months. The patient has poliomyelitis since child hood with weal left upper and lower limbs.

On examination, the patient in agonizing pain, having neck pain when turning the head to all directions, more up and down. There is severe weak grip and extension right hand 3/5 and both triceps muscle 3/5. There is hypalgesia below D3. SLRS was 85 degrees right side and 30 degrees left side due to weakness. Hoffman positive right side and the deep reflexes left lower limb exaggerated with Babinski positive left side. Weak right lower limb 3-4/5 including the right iliopsoas down to the right foot.

The patient was sent for investigations and MRI cervical spine done 31-October-2004 showing huge extruded disc C5-6 with malacia of the spinal cord.

Using the C-arm, the level of C5-6 was identified and discectomy of C5-6 was performed and the extruded pieces were removed until the dura was seen at the bottom of the disc cavity. Routine closure of the wound. Smooth postoperative recovery. The power of the right upper limb dramatically improved.

The patient came to the clinic 18-November-2004 with clean wound and the power of the right upper limb normalized and the hypalgesia descended  down to D6. The power of the proximal muscles right lower limb improved, but the right foot still weak, but better. Walking with crutch.

The patient then came 29-July-2006 telling that the condition is deteriorating the last 7 months after the death of her husband . Investigations showed severe lumbar canal stenosis L3-4 and L4-5 and was advised for surgery, but she disappeared.

The recurrence rate in cervical disc surgery is zero. Another disc can cause de novo extrusion.