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-OCTOBER-2010 TALAL ABDEL-RAHMAN SAABNEH 66 YEARS EXTRUDED
DISC C4-5 WITH BULGING C3-4, 5-6 AND C6-7 WITH SECONDARY CANAL STENOSIS AT ALL
to the clinic 09-October-2010 with history of
left shoulder and neck pain for 20 years. The
condition of the patient deteriorated the last
20 days with numbness III and IV fingers left
MRI cervical spine performed
02-October-2010 showing severe stenosis C304,
5-6 and central extrusion of C4-5 and
On examination: The
patient has pain when moving the head to all
directions. He has profound atrophy of the
interossii muscles left hand. The left upper
limb is weaker than the right with left triceps
muscle 3/5 and extension of the hand 3/5.
MRI was repeated and
performed 11-October-2010 confirming the above
The patient had
stent 1998 and new cath done preoperatively to
confirm his fitness for G.A.
Discectomy of C3-4, 5-6 and C6-7 was performed .
The C4-5 was cleaned meticulously until the dura
was seen all over the field. Using Fidji cages
15X12X5.5 mm was inserted to C3-4 and 17X12X6.1
mm to all other levels with Novabone. Trinica 88
mm length 4 level plate was used to fuse
C3-4-5-6-7 bodies. Check X-rays were performed
at all stages of surgery.
Routine closure of
the wound and smooth postoperative recovery
and the power of both upper limbs became
The patient has extruded disc
C4-5 with compression of the spinal cord. There
is also stenosis at C3-4 and C5-6 levels and
bulge at C6-7.
These data when to collect
together, the above mentioned technique is the
best solution to avoid future escalation of
Check X-ray showing the constructs
alignment, performed after surgery.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
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 .