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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.fr

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18-OCTOBER-2012  NOOR AL-HUDA HUSSEIN FARON  46 YEARS  EXTRUDED DISC C6-7 WITH LEFT FORAMINAL OCCLUSION AND OLD EXTRUSION C5-6.

 

Anamnesis

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The patient came to the clinic 06-October-2012 complaining of neck and left upper limb pain after RTA 13-June-2012. She was hospitalized at that time in Amman Surgical Center for 4 days. MRI cervical spine done 02-August-2012 showing extruded disc C6-7 with left foraminal occlusion with old small extrusion C5-6.

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On examination: the patient have pain when looking to both directions more to the left with limitation. The same when turning the head up and down more pain in up position. There is profound weakness of the grip and extension left hand and the left triceps all 3/5 with hypalgesia of the thumb of the left hand.

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Total discectomy of C6-7 with removal of the extrusion to the left foramen. Intradiscal cleaning C5-6. Fidji cervical cage with NovaBone 12x15x4.5 mm inserted to C5-6 and 14x19x6.1 to C6-7. Using Trinica cervical plate 2 level  40 mm length and 6 fixed screws 14x4.2 mm were used to perform fixation of C5-6-7. All stages of surgery done with C-arm control.

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Routine closure of the wound. Smooth postoperative recovery with normalization of the power of the left upper limb.

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 extruded disc C6-7 with foraminal occlusion requiring surgery. The old extrusion of C5-6 was included to prevent possible future escalation and correct the inverted curvature of the cervical spine.

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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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