Munir Elias 20-12-2013

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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12-OCTOBER-2012  SAEED HASAN AL-HAWWAJ  45 YEARS  EXTRUDED DISC C6-7 WITH RIGHT FORAMINAL OCCLUSION AND OLD DISC C5-6.

 

Anamnesis

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The patient came to the clinic 08-October-2012 complaining of agonizing neck pain for three weeks with right upper limb pain and numbness of the II and III fingers right hand. MRI of the cervical spine done 04-October-2012 at Khalidi hospital bad quality showing extruded disc C6-7 with right foraminal occlusion, but with a lot of artifacts.

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On examination: the patient has pain when looking to the right up and down and bending the head to the right shoulder. There is weak grip right hand 4/5 and extension of the right hand and right triceps 3/5.

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MRI of the cervical spine repeated 11-October-2012  showing the C6-7 right foraminal extrusion and old disc C5-6 in the left side.

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Total discectomy of C6-7 with removal of the extrusion occluding the right foramen. Intradiscal cleaning of C5-6. Scientex Samarys cervical cage 5x17x13 was inserted to C5-6 level and 6x17x13 to C6-7 level. Using Trestle cervical plate 34 mm 2 level with four screws to C5 and C7 variable 4x14 mm and 2 screws fixed 4x14 mm to C6, fusion of C5-6-7 was achieved. Bone graft LifleLine was used. All stages of surgery were done using C-arm.

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Routine closure of the wound. Smooth postoperative recovery with normalization of the power of the right 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 recent extrusion of C6-7 with agonizing pain, for what surgery was needed. The old C5-6 was included in fixation to prevent future escalation of this segment.

 

Leica HM500

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Back Up!

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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