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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27-JANUARY-2011 SALEM SULAYMAN ARAR 58 YEARS EXTRUDED
DISC C4-5, 5-6 WITH MALACIA OF THE SPINAL CORD.
came to the clinic 25-January-2011 complaining
of numbness of the left upper limb for 2 months
, then both upper limbs with shoulders.
cervical spine performed 25-December-2010
showing PCD C4-5, 5-6 with malacia of the spinal
cord at C4-5 level.
examination: The patient has pain when
moving the head to all directions. There is
severe weak grip and extension both hands -3/5
and the right biceps and both triceps 3/5 and
right deltoid 4/5. There is weak both
lower limbs more the right 4/5 and hypalgesia of
the entire upper and lower limbs left side.
Total discectomy C4-5 with removal of the
extrusion and osteophytes compressing the spinal
cord were removed. The dura was seen along the
entire posterior aspect of the disc space.
Intradiscal decompression of C5-6. Fidji
cervical cage 14x17x6.1 mm was applied to C4-5.
Another cage 12x17x4.5 mm was applied to C5-6
with Novabone. Trinica cervical plate 42 mm was
used to achieve fusion with 6 screws 16x4.2 mm
dimensions. All the stages of surgery were
performed under image-intensifier.
closure of the wound. Smooth postoperative
recovery with improvement of the power of all
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The spinal cord was suffering
from C4-5 compression. All efforts were directed
to that level. The other level was performed to
achieve reduction of the alignment of the
posteriorly pushed C5 body, to improve the
curvature of the spine regionally.
Immediate Postoperative X-ray control
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 .