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.tv
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09-APRIL-2009 HANNA ADBEL-RAZZAQ AGHA HUGE
PCD C5-6 AND C4-5 WITH MALACIA OF THE SPINAL CORD.
Anamnesis:
The patient came to the
clinic 17-March-2009 complaining of numbness
ulnar division both hands for 2 years more the
left.
MRI cervical spine performed
23-October-2007 showing huge PCD C5-6 with
malacia of the spinal cord.
On examination: there is weak
grip both hands and extension right hand 4/5 and
extension left hand and both triceps muscles
3/5. There is limitation with pain during
turning the head to the left and up and
downflexion.
The patient was sent for MRI
cervical spine which was performed 23-March-2009
showing the same finding and PCD C4-5.
The patient is a known
diabetic with hyperlipedimea.
Discectomy of C4-5 and
meticulous cleaning of C5-6 with osteophytectomy
of C5-6 was performed. Using miniplate and
screws the C4-5-6 were fused.
Smooth postoperative
recovery with prompt recovery of the power of
both upper limbs.
Comments
During cervical discectomy,
if 2 levels to be performed it is the usual
practice to perform fusion of the three involved
vertebrae.
The factory default
construction of the miniplate correct the
inverted curvature of the spinal column.
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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 .
