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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22-FEBRUARY-2012 JUMAH SALEM MUHAMED ARRAR 56
YEARS SEVERE CERVICAL STENOSIS C5-6, C6-7 WITH RADICULO-MYELOPATHIC
SYNDROME.
Anamnesis
The
patient is a Libyan citizen came to the clinic
14-February-2012, complaining of neck pain for
12 years with both shoulders pain and numbness
both hands for 1 year and cephalic pain. He has
also LBP for 19 days with left sciatica.
On
examination, the patient is not limping with no
scoliosis. He has pain when turning the head to
both sides, more to right and when looking down.
He has weak right hand grip and extension
and right triceps muscle 4/5. There is weak
dorsiflexion left foot 4/5.
Cervical
MRI performed 13-February-2012 showing bulge
C5-6, C6-7 with severe segmental stenosis with
malacia of the spinal cord. MRI lumbar spine
performed 20-February-2012 showing bulge L2-3,
L3-4 and L4-5 with mild elements of stenosis.
In prone position with the
neck in slight flexion, skeletonization of
C5,6,7 laminae was performed. Using
image-intensifier, the C6-7 level was
identified. Complete laminectomy of C5,6 and
partial of the upper half of the C7 laminae was
done with preservation of the spinous process of
C7 to avoid postoperative cosmetic
disfigurement. There was no epidural fat at
these levels.
Routine
closure of the wounds. Smooth postoperative
recovery with improvement of the power of the
affected limbs.
Please! wait for 3-5 min till the
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Comments
Lumbar, dorsal and cervical canal stenosis is a
progressive disease. When the neurological
impairment and malacia of the spinal cord take
place, the sooner the surgical intervention, the
better the outcome.
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 .
