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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12-NOVEMBER-2008 SAEED AHMAD SAEED 53 YEARS
PCD C5-6 AND C6-7 WITH MYELOPATHIC SYNDROME.
Anamnesis:
The patient came to the
clinic 23-July-2006 after performing surgery for
LCS 2 weeks ago, complaining of LBP with
bilateral sciatica.
The patient had residual
after poliomyelitis since childhood with weak
right lower limb.
The patient then came
14-August-2008 complaining of neck pain for 6
months with right shoulder pain and numb left
lower limb.
MRI cervical spine performed
04-August-2008 showed huge extruded disc C5-6
and C6-7 with compression of the spinal cord.
On examination: the patient
is limping with exaggerated scoliotic stance,
with weak four limbs.
Anterior discectomy C5-6 and
C6-7 with removal of the osteophytes was
performed. The Hybrid cervical miniplate 3
level 48 mm length was bended more to accept the
curve of the cervical spine from C4 down
to C7. Fusion of C4-7 was performed and the
inverted curvature of the cervical spine was
corrected.
Smooth recovery with prompt
improvement of the power of both upper limbs and
the left lower limb.
Please! wait for 3-5 min till the
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Comments
The patient had an extruded
disc of C5-6 and C6-7 with secondary canal
stenosis with inverted curvature of the spine
with myelopathic syndrome.
All these elements must be
corrected during surgery.
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 .
