The patient was admitted urgently to the Shmaisani hospital 24-March-2010 with agonizing pain in the neck and left shoulder and upper arm for several hours.

The patient was complaining of tolerable neck pain for 1 year. RF was positive. But ESR and CRP were normal.

On examination: the patient is in severe agonizing pain with inability to move her neck with severe weak all muscles of the left upper limb.

MRI of the cervical spine performed 24-March-2010  showed huge extruded disc C5-6 with complete fresh occlusion of the left foramen.

Using image-intensifier the level was indentified and discectomy of C5-6 was achieved after what the extruded disc was removed from the left foramen in several pieces. The extruded disc was soft in consistency and it was possible to remove the fragments with suction.

Routine closure of the wound.

Smooth postoperative recovery, and the power of left upper limb improved.

The patient had extruded disc with complete obliteration of the left C5-6 foramen with superacute course, that necessitate urgent intervention.

One level discectomy usually not necessitate insertion of cages or fixation as in the case performed 2 days ago.