Dr. Ali Al-Bayyati and Dr. Munir Elias

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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Multigen RF lesion generator .

06-JUNE-2012 KHETAM ABDEL-HAFEZ SALEH  40 YEARS HUGE EXTRUDED DISC C5-6 WITH MALACIA OF THE SPINAL CORD WITH MILD EXTRUSION C4-5.

 

Anamnesis

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The patient  came to the clinic 04-April-2012 complaining of neck and right upper limb pain for 5 years with exacerbation lat year and agonizing pain the last 2 months. The last month start to complain of right lower pain.

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On examination, the patient has pain when turning the head to the left and down and bending the head to both sides, more to the right. She has weak grip right hand 4/5 extension of the hand and the right triceps -4/5. There is hypalgesia middle finger right hand with dyseasthesia. There is weak dorsiflexion right foot -4/5. with hypalgesia right L5 and S1 territories.

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The patient was sent for investigations and MRI lumbar spine performed 23-April-2012 showing bulge L4-5 and L5-S1. Cervical MRI showing huge extruded disc C5-6 with spinal cord compression and malacia of the spinal cord with small extrusion C4-5.

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Discectomy and osteophytectomy C4-5, C5-6 until the dura was seen all over the posterior border of the discectomized cavities. Cervical Fidji cages 12x17x6.1 mm were inserted to both levels with NovaBone. Zimmer Trinica plate 2 level 42 mm was used with 6 fixed screws 16x4.2 mm to fuse C4-5-6.

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Routine closure of the wound. Smooth postoperative recovery and the power of right upper limb and right foot became normal.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The patient has malacia of the spinal cord. All the elements compressing or irritating the spinal cord must be resolved surgically.

 


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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 .

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