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15-FEBRUARY-2010  MUNA ISHAQ SHABAN  31 YEARS  HUGE EXTRUDED DISC C5-6 WITH LEFT FORAMINAL OCCLUSION AND OLD MILD EXTRUDED DISC C6-7 LEFT SIDE.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Anamnesis

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The patient was admitted to Shmaisani hospital 14-February-2010 complaining of neck pain for three years, increase the last 4 months with left shoulder and left upper limb pain associated with numbness of the fingers left hand.

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MRI cervical spine performed 18-October-2007 showed small PCD C5-6 and C6-7 left side. MRI repeated 02-January-2010 showed huge extrusion of C5-6 compressing the left foramen  and old extrusion of C6-7 left side.

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On examination: the patient is in agonizing pain and has weak grip, flexion left hand and left triceps muscle 3/5 and weak biceps 4/5. There is hypalgesia little finger left hand. There is severe pain with movement restriction of the neck in all directions.

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Discectomy of C6-7 was done to remove the intradiscal material through minor hole to prevent future recurrence, Meticulous discectomy C5-6 was done and the extruded disc occluding the left foramen was removed. Using Prestige LP Medtronic  6X16 mm dimensions the artificial disc was inserted at C5-6 level and all the stages were checked using image-intensifier.

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Routine closure of the wound.

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Smooth postoperative recovery, with normalization of the power of the left upper limb with disappearance of dysesthesia of the same limb.


Comments

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The indication for surgery was the PCD C5-6 and it was aided with Prestige LP Medtronic cervical system to improve the neurological outcome.

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Using this moment, intradiscal cleaning of C6-7 was a good option to prevent future recurrence or escalation at this level.


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