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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.fr

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12-NOVEMBER-2008  SAEED AHMAD SAEED  53 YEARS  PCD C5-6 AND C6-7 WITH MYELOPATHIC SYNDROME.

Anamnesis:

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The patient came to the clinic 23-July-2006 after performing surgery for LCS  2 weeks ago, complaining of LBP with bilateral sciatica.

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The patient had residual after poliomyelitis since childhood with weak right lower limb.

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The patient then came 14-August-2008 complaining of neck pain for 6 months with right shoulder pain and numb left lower limb.

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MRI cervical spine performed 04-August-2008 showed huge extruded disc C5-6 and C6-7 with compression of the spinal cord.

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On examination: the patient is limping with exaggerated scoliotic stance, with weak four limbs.

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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.

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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 video start to load. It depends upon the internet connection.

Comments

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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.

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All these elements must be corrected during surgery.


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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 .

     

  

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