The patient came to the clinic 05-January-2013 complaining of neck pain for 2 weeks with both upper limb pain more the right with numbness and pain right hand. The patient cannot sleep due to pain.

On examination: the patient has neck pain when looking to both sides more to the right and upward. There is weak grip and extension both hands 3/5 and both triceps 4/5 weaker i the right.

MRI cervical done 05-January-2013 showing deformed C5 with spondylolisthesis C4-5 and antelesthesis C5-6 with stenosis C4-5, C5-6 and C6-7. The curvature of the cervical spine is deformed, that its is compressing mainly the anterior spinal artery.

Using C-arm, total discectomy of C5-6 until the dura was seen all over the posterior aspect of the disc space. Intradiscal cleaning of C4-5 and C6-7. Using Samarys RF cervical cages 17x13x6 mm was inserted to C4-5 space, 17x13x5 mm to C5-6 space and 17x13x4.5 to C6-7 level. The Trestle 42 mm length 3 level plate was bended more and fusion of C4-5-6-7 was done using 2 variable 4x14 mm length to C4 and C7 each. Fixed same dimension screws were used to C5 and C6 bodies.

Routine closure of the wound. Smooth postoperative recovery. The power of the upper limbs became better.

The patient has several problems which need surgical correction to prevent further deterioration.