The patient came to the clinic 02-August-2004 complaining of LBP with bilateral sciatica for 7 months. MRI lumbar spine done 10-January-2004 showing bulge D11-12, L3-4 and L4-5. She has migraine for 15 years.

On examination, the patient in agonizing pain, having neck pain when turning the head to all directions, more up and down. There is severe weak grip and extension right hand 3/5 and both triceps muscle 3/5. There is hypalgesia of the middle finger right hand. There slight scoliotic stance. SLRS was 85 degrees both sides with pain. No myelopathic syndrome.

The patient was sent for investigations and MRI cervical spine done 10-August-2004 showing huge extruded disc C5-6 and bulge C6-7.

Using the C-arm, the level of C5-6 was identified and discectomy of C5-6 was performed and the extruded pieces in the right side were removed until the dura was seen at the bottom of the removed disc cavity. Routine closure of the wound. Smooth postoperative recovery. The power of the right upper limb dramatically improved.

The patient came to the clinic 16-October-2004 with clean wound and neurologically free. Complaining of right shoulder pain and given medications.

The patient then came 28-February-2007 telling that she was operated elsewhere for extruded disc L3-4 02-May-2005 and she came several times, the last time 18-November-2017 with bilateral sciatica and a lot of complains, that a lot of medications were prescribed. She was sent for investigations and disappeared.

The recurrence rate in cervical disc surgery is zero. Another disc can cause de novo extrusion.