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12-JUNE-2013 HALIMEH NIJEM SHAREEF 47 YEARS
RECURRENCE OF C5-6 WITH PCD C6-7 WITH LEFT RADICULOPATHY.
Anamnesis
The patient came
to the clinic 09-June-2013 complaining of neck
and left shoulder pain, 5 months after performed
discectomy C5-6 in Turkey in June-2011.
MRI of the cervical spine done 07-February-2013
showing complete collapse of C5-6 with extruded
recurrence at C5-6 left side with minimal
extrusion C6-7 left side.
On examination: The patient has pain when
turning the head to the right, up and down and
bending the head to the right shoulder. There is
weak grip and extension of the left hand 4/5
with weak left triceps muscle 3/5.
MRI of the cervical spine was repeated
09-June-2013 with dynamic studies confirming the
presence of recurrence at C5-6 and extrusion at
C6-7.
Discectomy C5-6, C6-7.
Insertion of Fidji cervical cages: 12x15x5.3 to
C5-6 level and 12x15x6.1 mm to C6-7 level. Using
Zimmer Trinica 2 level cervical plate 42 mm
length, 4 variable 14x4.2 mm screws and 2 fixed
14x4.2 mm screws, fusion of C5-6-7 was achieved,
using NovaBone during that.
Routine closure of the wound.
Smooth postoperative recovery. The power of the
left upper limb became normal.
Comments
The cause of the recurrence at C5-6 was the
total collapse of C5-6 space. Insertion of a
cage can prevent such an event.
Correction of the mal-alignment with fixation
can improve the patient condition.
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