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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29-AUGUST-2012 HUDA ABDEL-LATIF AL-NAJJAR 30 YEARS
EXTRUDED DISC C5-6 WITH LEFT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic
25-August-2012 complaining of neck pain for 5
months with exacerbation last month with left
shoulder pain down to the ring finger left hand.
MRI cervical spine performed 25-August-2012 showing
extruded huge disc C5-6 with left foraminal
occlusion.
On examination, the patient has pain with
limitation when looking to the left and up and
more pain when up. There is weak grip and
extension left hand and left triceps 4/5.
Using image-intensifier,
discectomy C5-6 was done. The disc material was
soft and easily removed. Insertion of Samarys
cage 15x12x4.5 mm with bone graft to the disc
space. Trestle cervical plate one level was used
with 4 fixed screws 4x12 mm to fuse C5-6.
Routine closure of the wound. Smooth
postoperative recovery and the power of left
upper limb became normal.
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Comments
The patient has huge
extrusion with left foraminal occlusion.
Surgical treatment was the only option in such
case.
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