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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10-SEPTEMBER-2012 HASSAN AHMAD AL-SAUD 44 YEARS
PCD C6-7 WITH LEFT FORAMINAL OCCLUSION.
The patient came to the clinic 06-September-2012
complaining of left shoulder pain for 45 days
with minimal neck pain. The pain then increased
to involve the ulnar territory of the left upper
MRI cervical spine done 16-August-2012 showing PCD
C6-7 with left foraminal occlusion.
On examination, the patient in agonizing pain
and has pain when looking to the left and
bending the head to the left shoulder and
tightness when looking down. There is weak grip
and extension left hand 4/5 and the left triceps
MRI repeated 08-September-2012 showing the same
data and a small extrusion in the right side at
Discectomy of C6-7 with
osteophytectomy until the dura was seen from the
most lateral aspects both sides. Fidji cage
12x17x5.3 mm was inserted to the disc space with
Novabone. Using Trinica plate 22 mm one level
and 4 screws 14x4.2 mm fixed type were used to
fuse C6-7. All stages of surgery were performed
Routine closure of the wound. Smooth
postoperative recovery and the power of the left
upper limb became normal.
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The patient has extruded
disc with foraminal occlusion. Surgical
decompression with stabilization is the
appropriate solution and recurrence in this case
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