patient came from Kurdistan to the clinic
complaining of agonizing neck and left upper
limb pain for two months, shooting to the left
scapular region. She had minimal neck pain for
spine done 02-July-2011 showing extruded disc
C5-6 with left foraminal occlusion and
compression of the spinal cord with resulting
examination: the patient has limitation of neck
movement with pain when looking to left,
downward and pain in other directions .She had
weak grip and extension left hand -4/5 and the
left triceps muscle 3/5 with hypalgesia of the
median distribution left hand. She had also weak
both quadriceps and the left foot dorsiflexion
3/5 and planterflexion -4/5.
Anterior discectomy of C5-6
was performed with removal of the extrusion,
until the dura was seen from the left side.
Fidji cage 12x15x6.9 was inserted to the empty
C5-6 disc space with 0.5 cc Novabone.
Zimmer Trinica one level plate was used to
obtain fusion of C5-6 with 4 screws 4.2x14 mm.
Routine checks were done with the C-arm.
closure of the wound. Smooth postoperative
recovery with normalization of the power of the
left upper and lower limbs.