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Dr. Ali Al-Bayyati and Dr. Munir Elias

 
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  neurosurgery.tv

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22-FEBRUARY-2012  JUMAH SALEM MUHAMED ARRAR  56 YEARS  SEVERE CERVICAL STENOSIS C5-6, C6-7 WITH RADICULO-MYELOPATHIC SYNDROME.

Anamnesis

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The patient is a Libyan citizen came to the clinic 14-February-2012, complaining of neck pain for 12 years with both shoulders pain and numbness both hands for 1 year and cephalic pain. He has also LBP for 19 days with left sciatica.

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On examination, the patient is not limping with no scoliosis. He has pain when turning the head to both sides, more to right and when looking down. He has weak right hand grip and extension  and right triceps muscle 4/5. There is weak dorsiflexion left foot 4/5.

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Cervical MRI performed 13-February-2012 showing bulge C5-6, C6-7 with severe segmental stenosis with malacia of the spinal cord. MRI lumbar spine performed 20-February-2012 showing bulge L2-3, L3-4 and L4-5 with mild elements of stenosis.

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In prone position with the neck in slight flexion, skeletonization of C5,6,7 laminae was performed. Using image-intensifier, the C6-7 level was identified. Complete laminectomy of C5,6 and partial of the upper half of the C7 laminae was done with preservation of the spinous process of C7 to avoid postoperative cosmetic disfigurement. There was no epidural fat at these levels.

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Routine closure of the wounds. Smooth postoperative recovery with improvement of the power of the affected limbs.


 

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

Comments

bullet Lumbar, dorsal and cervical canal stenosis is a progressive disease. When the neurological impairment and malacia of the spinal cord take place, the sooner the surgical intervention, the better the outcome.

 


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