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
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27-JUNE-2012 AWAD HUSSEIN AHMAD ATIYEH 38 YEARS
PCD C5-6 AND C6-7 WITH RIGHT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic 20-June-2012
complaining of neck pain with right upper limb
pain for 6 months with exacerbation the last 15
days.
MRI
cervical spine performed 28-January-2012 showing
PCD C5-6 right side and C6-7 with right
foraminal occlusion. MRI repeated 31-May-2012
showing the same data.
On
examination, the patient have pain when looking
to the right and down and bending his head to
the right shoulder. Weak grip and extension of
the right hand 4/5 and the right triceps muscle
3/4. There is hypalgesia the thumb right hand.
Discectomy of C5-6 and C6-7
until the dura was seen from the entire right
side at both levels. Fidji cages 5.3x12x15 mm
were inserted to both levels with NovaBone.
Trinica 2-level 38 mm plate was used with 4
variable screws 16x4.2 to C5 and C7 and fixed 2
screws 16x4.2 mm to C6 body to fuse C5-6-7. All
stages of plate insertion were performed with
image-intensifier.
Routine closure of the wound. Smooth
postoperative recovery. The power of the right upper
limb became normal.
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Comments
The patient has
extruded disc C6-7 with complete right foraminal
occlusion and smaller at C5-6. Discectomy of
both levels with fusion is the appropriate
solution.
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 .
