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
neurosurgery.tv
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
23-MARCH-2010 AHMAD YOUSEF AL-HAIDABY 51 YEARS
EXTRUDED DISC C5-6, C6-7 WITH OCCLUSION OF THE LEFT C6-7 FORAMEN.
Anamnesis
The
patient came to the clinic 14-March-2010
complaining of neck pain and pain to the ulnar
territory left side for 3 months.
MRI cervical spine
performed 28-January-2010 showed PCD C5-6 right
side and PCD C6-7 left side with foraminal
occlusion.
On examination: the
patient has hypotrophy of the interossii left
hand with weak grip left hand 4/5 and extension
3/5 and the left triceps 4/5. There is pain and
limitation of movement of the neck when looking
down and bending the head to the left.
MRI of the cervical
spine performed 16-March-2010 showing
the same picture seen at the one performed
earlier.
Discectomy of C5-6 and C6-7
was achieved with removal of the anterior and
posterior osteophytes . The dura was seen at the
depth of the fields both sides. PEEK-OPTIMA
cervical cages 14X11X6 mm were inserted at both
levels with NANOSTEM synthetic bone paste and
using Medtronic Atlantis 2 level plate 45
mm length, fusion of C5-6-7 was done. All stages
of the operation were controlled using
image-intensifier.
Routine closure of the wound.
Smooth postoperative
recovery, and the power of left upper limb
became normal.
Comments
The extruded disc of C6-7 was
an old with new recent one triggering the course
of the disease. The atrophy of the interossii of
the left hand confirming that the extrusion was
an old one, but escalation of the pain is a
recent event.
In the industry, there are a
lot of options to deal with such situation, and
performing such a procedure is one of the
acceptable options.
Postoperative X-ray showing the
construct.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
connection.
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 .
