The patient came to the clinic 17-March-2009 complaining of numbness ulnar division both hands for 2 years more the left.

MRI cervical spine performed 23-October-2007 showing huge PCD C5-6 with malacia of the spinal cord.

On examination: there is weak grip both hands and extension right hand 4/5 and extension left hand and both triceps muscles 3/5. There is limitation with pain during turning the head to the left and up and downflexion.

The patient was sent for MRI cervical spine which was performed 23-March-2009 showing the same finding and PCD C4-5.

The patient is a known diabetic with hyperlipedimea.

Discectomy of C4-5 and meticulous cleaning of C5-6 with osteophytectomy of C5-6 was performed. Using miniplate and screws the C4-5-6 were fused.

Smooth postoperative recovery with prompt recovery of the power of both upper limbs.

During cervical discectomy, if 2 levels to be performed it is the usual practice to perform fusion of the three involved vertebrae.

The factory default construction of the miniplate correct the inverted curvature of the spinal column.