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02-DECEMBER-2010  HUSSEIN ALI AL-MOMANI  49 YEARS  WIDE BASED HUGE EXTRUSION C5-6 WITH MALACIA OF THE SPINAL CORD.

Anamnesis

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The patient came to the clinic 29-November-2010 complaining of numbness both upper limbs ulnar division for two months.

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MRI cervical spine performed 25-November-2010 showing huge wide based extrusion C5-6  compressing the spinal cord with malacia of the later, with bulge C4-5.

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On examination: The patient  has no neck pain, but has hypalgesia both ulnar territories of the hands with weak grip and extension of both hands 4/5 and both triceps muscles 4/5. The weakness is more profound in the left with hypotrophy of the interossii left hand. There is no myelopathic syndrome.

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Using image-intensifier, discectomy of C5-6 was performed and osteophytectomy to achieve complete decompression of the spinal cord. The dura was thin and transparent.

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Routine closure of the wound. Smooth postoperative recovery and improvement of the power of both upper limbs.


Comments

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The patient had no neck pain, but the spinal cord was severely damaged by the compression at C5-6.

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It was explained to the patient the various options for his surgery and he decided to perform simple discectomy without using artificial disc or cages.

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Recurrence rate in cervical disc surgery is zero.

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Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

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