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

The patient started to complain of heaviness of walking for 5 months with weak both upper limbs . The condition progressed and he became unable to walk the last 3 weeks. MRI performed, showing severe stenosis with compression of the spinal cord at C5-6 level more to the right with upward migration and retrolisthesis manifesting segmental instability. There is also malacia of the spinal cord. The patient was operated and all compressive elements were removed, including the PLL. The dura was very thin, that the spinal cord was seen through the transparent dura. To avoid possible CSF leak a small piece of muscle was applied to cover the transparent dura. A cage with two screws were  applied to eliminate the segmental instability.