The patient came to the clinic 09-October-2010 with history of left shoulder and neck pain for 20 years. The condition of the patient deteriorated the last 20 days with numbness III and IV fingers left hand.

MRI cervical spine performed 02-October-2010 showing severe stenosis C304, 5-6  and central extrusion of C4-5 and bulge C6-7.

On examination: The patient has pain when moving the head to all directions. He has profound atrophy of the interossii muscles left hand. The left upper limb is weaker than the right with left triceps muscle 3/5 and extension of the hand 3/5.

MRI was repeated and performed 11-October-2010 confirming the above mentioned data.

The patient had stent 1998 and new cath done preoperatively to confirm his fitness for G.A.

Discectomy of C3-4, 5-6 and C6-7 was performed . The C4-5 was cleaned meticulously until the dura was seen all over the field. Using Fidji cages 15X12X5.5 mm was inserted to C3-4 and 17X12X6.1 mm to all other levels with Novabone. Trinica 88 mm length 4 level plate was used to fuse C3-4-5-6-7 bodies. Check X-rays were performed at all stages of surgery.

Routine closure of the wound and smooth postoperative recovery and the power of both upper limbs became stronger.

The patient has extruded disc C4-5 with compression of the spinal cord. There is also stenosis at C3-4 and C5-6 levels and bulge at C6-7.

These data when to collect together, the above mentioned technique is the best solution to avoid future escalation of complications.