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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16-MAY-2012 AMJAD MUHAMED MISLEH 47 YEARS
HUGE EXTRUDED DISC C5-6 WITH BULGE C4-5 AND C6-7 WITH MALACIA OF THE SPINAL
patient came to the clinic 08-April-2012
complaining of LBP for 10 years with numbness
both legs more the right. He cannot stand for
more than 5 minutes. He noticed deterioration
the last 2 years with escalation of the right
sciatica. MRI lumbar spine performed
07-April-2012 showing severe lumbar canal
stenosis L2-3, L3-4 and L4-5. He was complaining
also of numbness both ulnar distribution for 4
examination, the patient walking bended
with slight neck pain when looking down with
weak grip both hands 4/5 and triceps both arms
-4/5. There is weak dorsiflexion both feet 4/5.
SLRS was 85 degrees with tightness both sides.
patient was sent for MRI of the cervical spine,
which was done 09-April-2012 showing very huge
extruded disc C5-6 with bulge C4-5 and C6-7 with
malacia of the spinal cord at the extrusion
osteophytectomy C5-6 until the dura seen all
over. Discectomy C6-7 with removal of centrally
located extrusion. Insertion of Fidji cervical
cage 12x17x6.9 mm to the C5-6 level and
12x17x6.1 mm to the C6-7 level with NovaBone.
Trinica 42 mm length cervical plate with 2
variable 16x4.2 mm screws to C5 and four fixed
16x4.2 mm to C6 and C7 were used to fuse C5-6-7.
All stages of surgery were performed with
closure of the wound. Smooth postoperative
recovery and the power of both upper limbs
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The patient has lumbar
canal stenosis and very huge disc C5-6
compressing the spinal cord with malacia of the
cord. This take precedence over the problem of
the lumbar spine.
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 .