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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.fr

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16-MAY-2012  AMJAD MUHAMED MISLEH   47 YEARS  HUGE EXTRUDED DISC C5-6 WITH BULGE C4-5 AND C6-7 WITH MALACIA OF THE SPINAL CORD.

 

Anamnesis

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The patient  came to the clinic 08-April-2012 complaining of LBP for 10 years with numbness both legs more the right. He cannot stand for more than 5 minutes. He noticed deterioration the last 2 years with escalation of the right sciatica. MRI lumbar spine performed 07-April-2012 showing severe lumbar canal stenosis L2-3, L3-4 and L4-5. He was complaining also of numbness both ulnar distribution for 4 years.

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On examination, the patient walking bended  with slight neck pain when looking down with weak grip both hands 4/5 and triceps both arms -4/5. There is weak dorsiflexion both feet 4/5. SLRS was 85 degrees with tightness both sides.

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The patient was sent for MRI of the cervical spine, which was done 09-April-2012 showing very huge extruded disc C5-6 with bulge C4-5 and C6-7 with malacia of the spinal cord at the extrusion site.

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Discectomy with osteophytectomy C5-6 until the dura seen all over. Discectomy C6-7 with removal of centrally located extrusion. Insertion of Fidji cervical cage 12x17x6.9 mm to the C5-6 level and 12x17x6.1 mm to the C6-7 level with NovaBone. Trinica 42 mm length cervical plate with 2 variable 16x4.2 mm screws to C5 and four fixed 16x4.2 mm to C6 and C7 were used to fuse C5-6-7. All stages of surgery were performed with image-intensifier.

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Routine closure of the wound. Smooth postoperative recovery and the power of  both upper limbs became normal.

 

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

Comments

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The patient has lumbar canal stenosis and very huge disc C5-6 compressing the spinal cord with malacia of the cord. This take precedence over the problem of the lumbar spine.

 


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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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