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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10-MARCH-2009 ZEYAD THAMER AL-SAADOON 84 YEARS
SEVERE CERVICAL CANAL STENOSIS MORE AT C3-4 AND C5-6.
Anamnesis:
The patient started to
complain of four limb weakness for more than 5
years with considerable deterioration the last
year with inability to ambulate the last year.
The patient had IHD for what before surgery
stinting of the coronaries was performed 5 days
ago. The patient also had renal malfunction,
which was corrected.
MRI cervical spine performed
01-March-2009 showing severe stenosis of the
cervical spine more at C3-4 and C5-6 with
malacia of the spinal cord at these levels.
On examination: the patient
is walking with the help of two persons and he
had almost paralysis of the right upper and
lower limbs and paresis of the left side. He had
loss of deep position sense.
Decompressive laminectomy of
C3-6 with partial of C2 was performed, using the
high speed drill. There was no epidural fat and
there was deformity of the dura at C3-4
resembling a constricting band. Routine closure
of the wound.
Smooth postoperative
recovery and slight improvement of the power of
four limbs..
Comments
The patient had compressing
elements from behind, for what posterior
decompression was performed.
The malacia of the spinal
cord is the morphologic finding and there is no
direct relation with the prognosis. The age of
the patient and presence of systemic problems
playing a negative role in the degree of
improvement.
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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 .
