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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16-FEBRUARY-2011 SUHA RIFAAT AL-NASHED 40 YEARS
PCD C5-6 WITH LEFT FORAMINAL OCCLUSION AND SMALL CENTRAL PCD C4-5.
Anamnesis
The patient
came to the clinic 15-February-2011 complaining
of neck pain with both shoulders more the left
for more than 8 months with exacerbation of the
pain in the left upper limb the last 3 months
with numbness of the left hand.
On
examination: The patient has pain when
turning the head to all directions with severe
weak grip and extension left hand 3/5 and the
left triceps 3/5.
The
patient sent for MRI cervical spine, which was
performed and showed PCD C5-6 with left
foraminal occlusion and central small extrusion
of C4-5.
Discectomy of C5-6 with removal of the extruded
disc and osteophytectomy of the left posterior
border of C5-6 was achieved and check for any
pieces was performed. The dura was stuck with
the elements of the posterior longitudinal
ligament. It was not violated. Intradiscal
decompression of C4-5. Fidji cage
12x15x4.5 mm with Novabone inserted to C4-5 and
another cage 12x15x6.1 mm to the C5-6 space.
Using Trinica plate 44 mm 2 level plate fusion
of C4-5-6 was performed using 2 screws 14x4.2
at the C4 and 16x4.2 m at C5 and C6 bodies.
Routine
closure of the wound. Smooth postoperative
recovery with normalization of the power of left
upper limb.
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Comments
Surgery was indicated for the
PCD C5-6 with foraminal occlusion, but the
intradiscal decompression and fusion of C4-5 was
performed to prevent future escalation at this
level.
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 .
