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
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22-OCTOBER-2009 ABDEL-SALAM AHMAD AL-QATAWNEH 50 YEARS
EXTRUDED DISC C6-7 WITH LEFT FORAMINAL OCCLUSION.
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The patient came to the
clinic 20-October-2009 complaining of neck and
left shoulder pain for 7 months with severe
exacerbation the last 10 days with radicular
pain down to the second and third fingers left
hand. The last 4 days the patient is unable to
sleep due to pain.
MRI cervical spine performed
13-October-2009 showing huge extruded disc C6-7
with left foraminal occlusion.
On examination: the patient
has pain with limitation of mobility of the neck
more to the left and flexion with extension of
the neck. There is gross weak grip and extension
of the left hand and the left triceps muscle 3/5
with hypalgesia of the median territory of the
left hand. There is no cephalic, myelopathic
syndromes, nor frozen shoulder.
discectomy of C6-7was performed and the extruded
fragments to the left foramen were removed.
Using the Medtronic Sofamor Danek Prestige LP
technique the trail 5 mm was sufficient.
Prestige LP cervical disc system
5X16 mm dimensions was achieved and check X-rays
were performed in AP and lateral views with
flexion and extension of the neck was done.
Routine closure of the
wound and smooth
and the power of the
left upper limb normalized and the patient sent to
Insertion of artificial disc
can keep the disc height and mobility of the
segment, preventing future escalation of events
in the upper level, which is already suffering
and remove stress at Leushko joints.
The cost of the device is
expensive. This will limit its
use in the daily activity.
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 .