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-OCTOBER-2012 SAEED HASAN AL-HAWWAJ 45 YEARS
EXTRUDED DISC C6-7 WITH RIGHT FORAMINAL OCCLUSION AND OLD DISC C5-6.
Anamnesis
The patient came to the clinic 08-October-2012
complaining of agonizing neck pain for three
weeks with right upper limb pain and numbness of
the II and III fingers right hand. MRI of the
cervical spine done 04-October-2012 at Khalidi
hospital bad quality showing extruded disc C6-7
with right foraminal occlusion, but with a lot
of artifacts.
On examination: the patient has pain when
looking to the right up and down and bending the
head to the right shoulder. There is weak grip
right hand 4/5 and extension of the right hand
and right triceps 3/5.
MRI of the cervical spine repeated
11-October-2012 showing the C6-7 right
foraminal extrusion and old disc C5-6 in the
left side.
Total discectomy of C6-7 with
removal of the extrusion occluding the right
foramen. Intradiscal cleaning of C5-6. Scientex
Samarys cervical cage 5x17x13 was inserted to
C5-6 level and 6x17x13 to C6-7 level. Using
Trestle cervical plate 34 mm 2 level with four
screws to C5 and C7 variable 4x14 mm and 2
screws fixed 4x14 mm to C6, fusion of C5-6-7 was
achieved. Bone graft LifleLine was used. All
stages of surgery were done using C-arm.
Routine closure of the wound. Smooth
postoperative recovery with normalization of the
power of the right upper limb.
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Comments
The patient has recent
extrusion of C6-7 with agonizing pain, for what
surgery was needed. The old C5-6 was included in
fixation to prevent future escalation of this
segment.
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