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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator
10-SEPTEMBER-2013 ALI SALEH
MARZOOQ 52 YEARS OLD FRACTURE DISLOCATION C4-5 AFTER RTA 6 MONTHS
The patient came to the clinic 07-September-2013
complaining of neck pain and inability to move
the neck to all directions after suffering RTA
in March-2013. The patient was treated for
fracture ribs and heamothorax with UWS both
sides and fracture left forearm was plated then
after. The fracture dislocation of C4-5 was
missed at that time.
MRI of the cervical spine performed
03-September-2013 showing fracture
dislocation of C4-5.
On examination: the patient has limitation of
neck movement with pain when looking to both
sides and up and down. There is hypotrophy of
the interossii left hand with weak grip and
extension of the left hand 4/5 and triceps left
Using C-arm, the level of
C4-5 identified. The upper edge of C5 was
dislocated posterior more from the left side.
Discectomy of C4-5 done with attempt for
reduction. Samarys cervical cage 17x13x6 mm with
bone graft was inserted to C4-5 disc space.
Trestle 16 mm length cervical plate one level
with 4 screws 14x4 mm were used to fuse C4 and
C5. All stages were done under C-arm control.
recovery. The power of the left upper limb
The patient still having mobile fracture
dislocation which needs surgical correction and
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision.
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 .