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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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27-JUNE-2012 AWAD HUSSEIN AHMAD ATIYEH  38 YEARS  PCD C5-6 AND C6-7 WITH RIGHT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient came to the clinic 20-June-2012 complaining of neck pain with right upper limb pain for 6 months with exacerbation the last 15 days.

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MRI cervical spine performed 28-January-2012 showing PCD C5-6 right side and C6-7 with right foraminal occlusion. MRI repeated 31-May-2012 showing the same data.

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On examination, the patient have pain when looking to the right and down and bending his head to the right shoulder. Weak grip and extension of the right hand 4/5 and the right triceps muscle 3/4. There is hypalgesia the thumb right hand.

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Discectomy of C5-6 and C6-7 until the dura was seen from the entire right side at both levels. Fidji cages 5.3x12x15 mm were inserted to both levels with NovaBone. Trinica 2-level 38 mm plate was used with 4 variable screws 16x4.2 to C5 and C7 and fixed 2 screws 16x4.2 mm to C6 body to fuse C5-6-7. All stages of plate insertion were performed with image-intensifier.

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Routine closure of the wound. Smooth postoperative recovery. The power of the right upper limb 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 extruded disc C6-7 with complete right foraminal occlusion and smaller at C5-6. Discectomy of both levels with fusion is the appropriate solution.  


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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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