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10-MARCH-2007 AMAL MAHMOOD ABDEL-QADER 31 YEARS EXTRUDED DISC C6-7 LEFT
MIDIO-LATERAL.
Anamnesis
The patient came to the clinic 05-March-2007
complaining of neck pain for 18 months with
right radicular pain for 9 months and numbness
both hands for 3 weeks.
MRI of the cervical spine performed
03-March-2007 showing a huge extruded disc C6-7
with left midio-lateral localization.
On examination; the patient had limitation of
neck movement with severe weak flexion and
extension of both hands and both triceps
muscles. She had positive Hoffmann sign both
sides, for what brain CT-scan was performed and
it was normal. The patient was advised to
undergo surgery.
Discectomy of C6-7 was performed through
anterior approach and after cleaning of the disc
space at C6-7, the defect of the posterior
longitudinal ligament was widened to make the
extrusion coming out and removed. Several
fragments were removed. The dura was glistening
relaxed and check of the foramina was negative
for remnants.
Routine closure of the wound and smooth
postoperative recovery with disappearance of the
radicular syndrome.
Comments
The bony elements practically were
untouched and the single level all make unnecessary to put
artificial devices, such as artificial disc or fusion
devices of several types. Here the presence of Leuscko
joints in the lateral aspect of the disc space, provide the
stability, taken together with other supporting elements.
The good news in cervical disc surgery, that,
there is no recurrence in comparison to the lumbar disc which
still having recurrence rate around 7-10%.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
fixation is the most accurate system in the market. The microdrive and
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Inomed MER system
Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
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After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
LooksCam II in the run starting from 14-March-2020
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 .