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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04-NOVEMBER-2013 KHALED ALI LIYAS 48 YEARS
EXTRUDED HUGE DISC C5-6 WITH SPINAL CORD MALACIA AND BULGE C4-5,
The patient came to the clinic 29-October-2013
complaining of numbness ulnar distribution both
upper limbs more the right for 18 months for
what right ulnar transposition at the elbow and
carpal tunnel release done in Tunis
01-January-2013 without improvement. The patient
is a known diabetic.
On examination: the patient has minimal neck
pain when looking to the right. There is weak
extension right hand 4/5 with hypalgesia of the
ulnar distribution right hand.
MRI brain done
29-October-2013 was normal, cervical spine
showed very huge extrusion C5-6 with malacia of
the spinal cord with bulge C4-5, C6-7.
Discectomy C4-5, C5-6 and
C6-7 with osteophytectomy C5-6 until the dura
was seen all over. Fidji cervical cage 12x15x7.7
mm with NovaBone were inserted to C5-6.
12x15x5.7 to C4-5 and 12x15x6.1 mm to C6-7.
Zimmer Trinica cervical plate 3 level 63 mm
length was used to fuse C4,5,6 and C7. Four
fixed screws 16x4.2 mm were applied to C5,6
bodies. Four variable screws 16x4.2 mm were
applied to C4 and C7 bodies.
The patient underwent release of the supposed to
be entrapped nerves. Before proceeding to such a
conclusion, brain and cervical spine survey must
be evaluated before reaching to wrong surgical
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