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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18-OCTOBER-2012 NOOR AL-HUDA HUSSEIN FARON 46
YEARS EXTRUDED DISC C6-7 WITH LEFT FORAMINAL OCCLUSION AND OLD EXTRUSION
C5-6.
Anamnesis
The patient came to the clinic 06-October-2012
complaining of neck and left upper limb pain
after RTA 13-June-2012. She was hospitalized at
that time in Amman Surgical Center for 4 days.
MRI cervical spine done 02-August-2012 showing
extruded disc C6-7 with left foraminal occlusion
with old small extrusion C5-6.
On examination: the patient have pain when
looking to both directions more to the left with
limitation. The same when turning the head up
and down more pain in up position. There is
profound weakness of the grip and extension left
hand and the left triceps all 3/5 with
hypalgesia of the thumb of the left hand.
Total discectomy of C6-7 with
removal of the extrusion to the left foramen.
Intradiscal cleaning C5-6. Fidji cervical cage
with NovaBone 12x15x4.5 mm inserted to C5-6 and
14x19x6.1 to C6-7. Using Trinica cervical plate
2 level 40 mm length and 6 fixed screws
14x4.2 mm were used to perform fixation of
C5-6-7. All stages of surgery done with C-arm
control.
Routine closure of the wound. Smooth
postoperative recovery with normalization of the
power of the left upper limb.
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Comments
The patient has extruded
disc C6-7 with foraminal occlusion requiring
surgery. The old extrusion of C5-6 was included
to prevent possible future escalation and
correct the inverted curvature of the cervical
spine.
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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 .
