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The patient came to the clinic
12-July-2006 complaining of neck and right shoulder pain for 5 years
with exacerbation last 3 months with numbness and pain entire right
hand. MRI done 28-June-2006 showing huge extrusion of C5-6
disc to the right with compression of the spinal cord and the root.
On examination: profound weakness of the grip, extension of the
right hand and the right triceps muscle. There is severe pain and
limitation of the neck movement to all directions. Pin-prick
sensation was preserved, but the patient was feeling that the whole
right upper limb is swollen and in agonizing pain.
Discectomy of C5-6 was performed as usual and the extruded peace
was removed in several fragments. Prompt postoperative recovery.
Comments: 1. The patient
has assimilation of C2-3 with inverted curvature of the cervical
alignment. The presence of such elements play no role in the
surgical plan. |
