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
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08-DECEMBER-2003 WAFIQA HAMDY AL-LABABIDI 75 YEARS EXTRUDED
DISC C3-4, 4-5, 5-6 WITH SEVERE STENOSIS.
The patient came to the clinic 19-July-2003
complaining of numbness both hands with neck
pain for several months with difficult walking.
The condition is progressing. The patient is a
known diabetic for 17 years and hypertensive for
On examination: the patient has pain in the neck
when looking to right and up. There is
hypalgesia right upper limb and both limbs below
the knees. There is weak grip and extension both
hands and both triceps muscles. Weak dorsi and
planterflexion both feet more weak left.
The patient then came 08-November-2003 with MRI
cervical spine showing severe stenosis due to
extruded disc C3-4, 4-5 and C5-6.
Using C-arm, discectomy of
C3-4, C4-5 and C5-6 was done until the dura was
seen at the entire posterior border of the
bodies. Using 3 level cervical plate fusion of
C3-4-5-6 was done.
Routine closure of the wound.
Smooth postoperative recovery. The power of four
limbs became better.
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The patient has
severe stenosis due to extruded disc C3-4, 4-5
and C5-6. Decompression and fixation is the best
solution for this situation.
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
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