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Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .

23-MARCH-2010  AHMAD YOUSEF AL-HAIDABY  51 YEARS  EXTRUDED DISC C5-6, C6-7 WITH OCCLUSION OF THE LEFT C6-7 FORAMEN.

Anamnesis

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The patient came to the clinic 14-March-2010 complaining of neck pain and pain to the ulnar territory left side for 3 months.

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MRI cervical spine performed 28-January-2010 showed PCD C5-6 right side and PCD C6-7 left side with foraminal occlusion.

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On examination: the patient has hypotrophy of the interossii left hand with weak grip left hand 4/5 and extension 3/5 and the left triceps 4/5. There is pain and limitation of movement of the neck when looking down and bending the head to the left.

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MRI of the cervical spine performed 16-March-2010  showing the same picture seen at the one performed earlier.

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Discectomy of C5-6 and C6-7 was achieved with removal of the anterior and posterior osteophytes . The dura was seen at the depth of the fields both sides. PEEK-OPTIMA  cervical cages 14X11X6 mm were inserted at both levels with NANOSTEM synthetic bone paste and using Medtronic Atlantis  2 level plate 45 mm length, fusion of C5-6-7 was done. All stages of the operation were controlled using image-intensifier.

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Routine closure of the wound.

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Smooth postoperative recovery, and the power of left upper limb became normal.


Comments

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The extruded disc of C6-7 was an old with new recent one triggering the course of the disease. The atrophy of the interossii of the left hand confirming that the extrusion was an old one, but escalation of the pain is a recent event.

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In the industry, there are a lot of options to deal with such situation, and performing such a procedure is one of the acceptable options.

Postoperative X-ray showing the construct.

 

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