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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06-JUNE-2012 KHETAM ABDEL-HAFEZ SALEH 40 YEARS HUGE
EXTRUDED DISC C5-6 WITH MALACIA OF THE SPINAL CORD WITH MILD EXTRUSION C4-5.
patient came to the clinic 04-April-2012
complaining of neck and right upper limb pain
for 5 years with exacerbation lat year and
agonizing pain the last 2 months. The last month
start to complain of right lower pain.
examination, the patient has pain when turning
the head to the left and down and bending the
head to both sides, more to the right. She has
weak grip right hand 4/5 extension of the hand
and the right triceps -4/5. There is hypalgesia
middle finger right hand with dyseasthesia.
There is weak dorsiflexion right foot -4/5. with
hypalgesia right L5 and S1 territories.
patient was sent for investigations and MRI
lumbar spine performed 23-April-2012 showing
bulge L4-5 and L5-S1. Cervical MRI showing huge
extruded disc C5-6 with spinal cord compression
and malacia of the spinal cord with small
osteophytectomy C4-5, C5-6 until the dura was
seen all over the posterior border of the
discectomized cavities. Cervical Fidji cages
12x17x6.1 mm were inserted to both levels with
NovaBone. Zimmer Trinica plate 2 level 42 mm was
used with 6 fixed screws 16x4.2 mm to fuse
closure of the wound. Smooth postoperative
recovery and the power of right upper limb
and right foot
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
The patient has malacia of
the spinal cord. All the elements compressing or
irritating the spinal cord must be resolved
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 .