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Multigen RF lesion generator .

31-OCTOBER-2010  SULAYMAN AHMAD AL-MOMANI  48 YEARS  EXTRUDED DISC C6-7 WITH LEFT FORAMINAL OCCLUSION.

Anamnesis

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The patient came to the clinic 28-October-2010 with history of neck pain for 2 years. Exacerbation the last 2 weeks with agonizing left shoulder pain down to the left forearm and cephalic pain, which making him unable to sleep for several days.

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MRI cervical spine performed 24-October-2010 showing extruded disc C6-7 with complete occlusion of the left foramen and small extrusion of C5-6 right side.

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On examination: The patient has pain when moving the head to all directions. He has weak grip and extension of the left hand 4/5 and the left triceps muscle -3/5.

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Discectomy of C6-7 was performed. The the posterior longitudinal ligament was removed from the left side and the extruded disc was withdrawn in several pieces. Meticulous cleaning until the dura was seen lax in the left half of the disc space.

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Routine closure of the wound and smooth postoperative recovery and the power of the left upper limb became stronger.


Comments

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The patient has extruded disc C6-7 with shifting of the spinal cord. There is also severe compression of the root at the foraminal part.

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When performing single level discectomy, the use of cages and plates are not necessary.

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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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