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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02-OCTOBER-2010 KHALDOON BAJES AL-KHZUZ 41 YEARS PCD C4-5 AND
C5-6 WITH QUADRIPARESIS.
to the clinic 23-September-2010 complaining of
neck pain for 1 year with both upper limbs pain
and numbness four limbs with exacerbation the
last 2 weeks. Cath was done 2006.
MRI cervical spine
performed 20-September-2010 showing PCD C5-6
compressing the spinal cord and to lesser degree
the C4-5 with left partial foraminal occlusion.
On examination: The
patient has severe pain and limitation of neck
movement to all directions. The grip and
extension and triceps of both upper limbs are
3/5. There is hypalgesia of the middle finger
left hand. There is weak dorsiflexion both feet
and quadriceps muscles both lower limbs 4/5.
Discectomy of C4-5
and C5-6 was performed until the dura was seen,
so as not to miss any compression. Fidji cages
17X6.9X12 mm inserted to C4-5 level and
17X6.1X12 mm to C5-6 with Novabone. Trinica 44
mm 2 level cervical plate was used to obtain
fusion of C4-5-6 with 6 screws 14X4.2 mm. All
stages of surgery were performed under
Routine closure of
the wound and smooth postoperative recovery and
the power of all limbs became normal.
The patient had tetraparesis,
which resolved immediately after surgery. This
means that parabiosis of the neural tissues was
the leading factor for such neurological
The fusion with cage
implementation is the ideal option, because
inserting 2 cervical disc systems, first it is
costly and second: it has the disadvantage of
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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 .