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-FEBRUARY-2014 HALIMEH IBRAHEEM MUHAMED ZAYDAN
43 YEARS EXTRUDED DISC C5-6 WITH RIGHT FORAMINAL OCCLUSION.
The patient came to the clinic 08-February-2014
complaining of neck pain radiating to the right
upper limb for 45 days.
On examination; the patient in agonizing pain
with inability to move the neck to all
directions with more pain when looking to the
left. There is weak grip right hand -4/5,
extension right hand -3/5 and right triceps
-3/5. There is hypalgesia of the ulnar side of
the arm, forearm and the hand.
The patient sent for MRI of the cervical spine
and done the same day, showing extruded disc
C5-6 with right foraminal occlusion.
Discectomy C5-6 was done until the dura was seen
at the entire posterior aspect so as not to miss
any inside extrusion. Vitatech secured cage
5.5x16x13 mm with Hydr,Os bone graft was
inserted to the disc space. I level cervical
plate 21 mm with three screws 4x16 mm and one
revision screw 4.5x16 mm were used to fuse C5.6
level. The revision screw was inserted to the
right lower part of the construct. All stages
were performed with the C-ram control. Routine
closure of the wound.
recovery. The patient showed dramatic
improvement of the power of the right upper limb
and disappearance of the radicular syndrome.
The cage is a secured type, but it is not
reliable. For that more fixation was done to
achieve proper fixation with stable construct.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
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 .