The patient came to the clinic 31-July-2012 complaining of neck pain for 10 years with right shoulder and upper limb pain. Exacerbation of the neck pain and both shoulders pain the last three months.

MRI cervical spine performed 23-May-2012 showing extruded disc C6-7 with compression of the spinal cord more from the right side and complete right foraminal occlusion.

On examination, the patient has pain when looking to the left up and down. There is weak grip right hand 4/5, extension of the right hand 3/5, right triceps 3/5.  There is also weak dorsi and planterflexion right foot 4/5 with tingling sensation of the right lower limb.

Discectomy of C6-7 done with removal of the extruded disc extending to the right foramen. The dura was seen at the entire course behind. Insertion of Samarys cervical cage 17x13x5 mm cage RF with bone graft. Using Trestle anterior plate one level 16 mm length and 4 fixed screws 4x14 mm, fusion of C6-7 was achieved and check by C-arm was done.

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

The patient has huge extrusion with total foraminal occlusion and compression of the spinal cord. Surgery is the only solution.