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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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31-JANUARY-2012  NADIA RASHAD RAGHEB  58 YEARS  SHIFTED CERVICAL PLATE CONSTRUCT WITH LOOSE SCREWS.

Anamnesis

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The patient was operated 1997 for PCD C3-4 at the University hospital, then  by me two times, the first for cervical canal stenosis due to extruded disci C4-5, 4-5 and C5-6 for what discectomy of the above levels was done and fusion of C4-5-6 was done using Zephir cervical plate in 2000. She was also operated for LCS 22-August-2005 with subsequent improvement.

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The patient then came 28-January-2012 complaining of left shoulder and neck pain for three months with insomnia due to pain. She was also complaining of difficult swallowing.

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On examination, the patient has pain when looking to the left and downward. The power of all limbs is normal and there is hypalgesia of the left foot.

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Cervical X-ray done 11-January-2012 showing the loosening of the screws and shifting the upper part of the construct tot eh left side. CT-scan done 21-January-2012 confirming the X-ray data. MRI of the cervical spine done 30-January-2012 showing

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The same incision was used and removal of the 2 loose screws and construct was achieved with C-arm control. Diprofos was injected to the supraspinatus area left shoulder.

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Routine closure of the wounds. Smooth postoperative recovery with disappearance of the left shoulder pain.


 

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

Comments

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The Zephir cervical plate was abandoned in our activity for more than 10 years after 10 cases of their use. The construct have several disadvantages which are resolved in other brands.

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Here, even after 12 years the screws slipped out and the construct upper portion migrated to the left causing pain in the left shoulder and difficult swallowing.


 

 


Back Up!

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 .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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