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
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06-JANUARY-2014 GHASAN YANES AWADALLAH 48 YEARS PCD
C5-6 WITH HUGE LEFT EXTRUSION AND CENTRAL EXTRUSION C6-7 WITH
The patient came to the clinic 24-August-2013
complaining of neck pain for 3 years with
numbness both hand when bending the head. The
last three months dramatic deterioration with
weak both upper limbs more the left.
On examination: the patient has neck pain when
turning the head to the left. There is
hypotrophy interossii both hands more the left.
All muscles left upper limb 3/5 and right upper
limb 4/5. There is hypalgesia of both hands more
the left. There is weak dorsiflexion left foot
MRI cervical spine done 29-August-2013 showing
disc C5-6 with huge extrusion more to the left
with central extrusion of C6-7 with malacia of
the spinal cord at these levels.
the C5-6 level identified. Discectomy of C5-6
and C6-7 was performed, until the dura was seen
at both levels. The extruded disc material was
partially calcified and it was necessary to
drill out some of its parts.
cages 6.5 height were inserted to both disc
spaces. 2 level 46 mm length bended more at its
inferior third to accept the natural curve of
the C6-7 area was inserted and using 6 screws
4x16 mm were used to fuse C5-6 and C7. All
stages of surgery were done with C-arm control.
Routine closure of the wound
recovery. The power of left foot became
normal and the power of both upper limbs
The patient has severe compression from the
extruded calcified disc. Anterior approach is
the adequate solution in this case.
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