The patient came to the clinic  04-March-2009 complaining of severe neck pain and right upper limb pain for 5 months with inability to sleep the last 10 days due to pain. The patient performed MRI cervical spine 19-January-2009 which was bad quality and showed possible extrusion of C5-6 with foraminal occlusion.

On examination the patient is a known diabetic with arterial hypertension and in L-thyroxin for 5 years. She is in agonizing pain with pain and limitation of neck movement. The grip and extension of the right hand was 3/5 and weak right triceps muscle 3/5. There was hypalgesia of the thumb of the right hand.

The patient was sent another time for MRI study, which confirmed the presence of huge extrusion with total occlusion of the right foramen at C5-6 level.

Discectomy of C5-6 was performed using image-intensifier and the extruded disc in the right side was removed in several pieces. The dura was seen in the right 2/3 of the annulus fibrosis. It was lax and further exploration for remnants was negative. Routine closure of the wound.

Smooth postoperative recovery and the power of the right upper limb normalized immediately after surgery.

The patient has extruded disc C5-6 with severe compression of the right foramen with subsequent compression of the root with agonizing pain.

Since the period of suffering is not long, prompt recovery is the rule and the good news, that recurrence in cervical disc surgery is zero.