COMPREHENSIVE GERMAN EXPERTISE IN SPINE SURGERY

Anterior Posterior Cervical Decompression- Fusion and Reconstruction

47 years old patient Ms.Glenda falld down by walking in the street in February 2020. At the location of the accident was the patient paralyzed and couldn’t move her arms and legs for minutes. Ms. Glenda came to Dr. Basil 1 week later for a third opinion. Dr. Basil was the first surgeon , who diagnosed an OPLL ( ossified posterior longitudinal ligament ) C4/5 and C5/6 ( see video) with absolute bony stenosis of the spinal canal C4-C6 and severe Myelopathy/ Contusio spinalis ( injury to the spinal cord due to severe compression that may result from trauma, congenital stenosis, degenerative disease or disc herniation.)
The Patient had preoperitavely severe Ataxia ( unsteady gait ) , Paralyzed in her Right Arm and had numbness in the upper and lower limbs and couldn’t walk without support.
Dr. Basil performed a very complicated and critical surgery by the patient and removed microscopic tow vertebras C4 and C5 to decompress the spinal cord after adhesiolysis the Bone from the Thecal sack. Then he reconstruct the spinal Alignment with vertebral body replacement C4 and C5 with Platte and screws from the front ( anterior) and 4 days later from the back ( posterior) screws fixation C3-C6 for the maximal stability. Both surgeries done without complications.
The patient could mobilized after the first surgery and her gait improved very well. Now 3 months post surgery Ms. Glenda recovered completely, no weakness more, no numbness and can walk properly without any support and she works again.
Dr. Basil Al Sharef is German and Swiss Board Certified Consultant Orthopedic Spine surgeon treat all spinal pathologies, specialized in reconstructive complex spine surgery and revision surgery

Posterior Cervical Decompression and Fusion

𝑭𝒊𝒇𝒕𝒚 - 𝒐𝒏𝒆 𝒚𝒆𝒂𝒓𝒔 𝒐𝒍𝒅 𝑵𝒊𝒈𝒆𝒓𝒊𝒂𝒏 𝑬𝒏𝒈𝒊𝒏𝒆𝒆𝒓 𝒊𝒔 𝒏𝒐𝒘 𝒂𝒃𝒍𝒆 𝒕𝒐 𝒔𝒕𝒂𝒏𝒅, 𝒘𝒂𝒍𝒌 𝒘𝒊𝒕𝒉 𝒃𝒂𝒍𝒂𝒏𝒄𝒆 𝒂𝒏𝒅 𝒎𝒐𝒗𝒆 𝒉𝒊𝒔 𝒂𝒓𝒎𝒔 𝒂𝒏𝒅 𝑯𝒂𝒏𝒅𝒔 𝒃𝒚 𝑺𝒕𝒂𝒕𝒖𝒔 𝑷𝒐𝒔𝒕 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝒄𝒆𝒓𝒗𝒊𝒄𝒂𝒍 𝒅𝒆𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏 𝒂𝒏𝒅 𝒇𝒖𝒔𝒊𝒐𝒏 𝒃𝒚 𝒑𝒓𝒐𝒈𝒓𝒆𝒔𝒔𝒊𝒗𝒆 𝒕𝒆𝒕𝒓𝒂𝒑𝒂𝒓𝒆𝒔𝒊𝒔 𝒂𝒏𝒅 𝒎𝒚𝒆𝒍𝒐𝒑𝒂𝒕𝒉𝒚 𝒃𝒚 𝒔𝒆𝒗𝒆𝒓𝒆𝒔𝒕 𝒄𝒆𝒓𝒗𝒊𝒄𝒂𝒍𝒔𝒕𝒆𝒏𝒐𝒔𝒊𝒔.
𝑰𝒕 𝒘𝒂𝒔 𝒋𝒖𝒔𝒕 𝟐,𝟓 𝒉𝒐𝒖𝒓𝒔 𝒔𝒖𝒓𝒈𝒆𝒓𝒚, 𝒘𝒊𝒄𝒉 𝒄𝒉𝒂𝒏𝒈𝒆𝒅 𝒕𝒉𝒆 𝒍𝒊𝒇𝒆 𝒒𝒖𝒂𝒍𝒊𝒕𝒚 𝒐𝒇 𝒕𝒉𝒆 𝑷𝒂𝒕𝒊𝒆𝒏𝒕.

Cervical Corpectomy by C3-Tumor

𝟐𝟎 𝒚𝒆𝒂𝒓𝒔 𝒐𝒍𝒅 𝒑𝒂𝒕𝒊𝒆𝒏𝒕 𝒘𝒊𝒕𝒉 𝒑𝒓𝒐𝒈𝒓𝒆𝒔𝒔𝒊𝒗𝒆 𝑪𝒆𝒓𝒗𝒊𝒄𝒐𝒃𝒓𝒂𝒄𝒉𝒊𝒂𝒍𝒈𝒊𝒂 𝒃𝒊𝒍𝒂𝒕𝒆𝒓𝒂𝒍𝒍𝒚 𝒃𝒚 𝑪𝟑- 𝑶𝒔𝒕𝒆𝒐𝒊𝒅 𝒐𝒔𝒕𝒆𝒐𝒎( 𝒃𝒆𝒏𝒊𝒈𝒏 𝒑𝒓𝒊𝒎𝒂𝒓𝒚 𝒃𝒐𝒏𝒆 𝒕𝒖𝒎𝒐𝒓).𝑰 𝒑𝒆𝒓𝒇𝒐𝒓𝒎𝒆𝒅 𝒂𝒏𝒕𝒆𝒓𝒊𝒐𝒓 𝑪𝒐𝒓𝒑𝒐𝒓𝒆𝒄𝒕𝒐𝒎𝒚 𝑪𝟑 𝒘𝒊𝒕𝒉 𝒅𝒆𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏, 𝒓𝒆𝒔𝒆𝒄𝒕𝒊𝒐𝒏 𝒐𝒇 𝑻𝒖𝒎𝒐𝒓 𝒊𝒏𝒄𝒍𝒖𝒔𝒊𝒗𝒆 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝒍𝒊𝒈𝒂𝒎𝒆𝒏𝒕 𝑪𝟐-𝑪𝟒, 𝒓𝒆𝒄𝒐𝒏𝒔𝒕𝒓𝒖𝒄𝒕𝒊𝒐𝒏 𝒐𝒇 𝒂𝒏𝒕𝒆𝒓𝒊𝒐𝒓 𝑨𝒍𝒊𝒈𝒏𝒎𝒆𝒏𝒕 𝒘𝒊𝒕𝒉 𝑴𝒆𝒔𝒉-𝑪𝒂𝒈𝒆 ( 𝑯𝒂𝒓𝒎𝒔 -𝑪𝒂𝒈𝒆) 𝒇𝒊𝒍𝒍𝒆𝒅 𝒘𝒊𝒕𝒉 𝒂𝒖𝒕𝒐𝒍𝒐𝒈𝒐𝒖𝒔 𝒔𝒑𝒐𝒏𝒈𝒊𝒐𝒔𝒂 𝒂𝒏𝒅 𝒑𝒍𝒂𝒕𝒆 𝒐𝒔𝒕𝒆𝒐𝒔𝒚𝒏𝒕𝒉𝒆𝒔𝒊𝒔 𝑪𝟐-𝑪𝟒.

Posterior Cervical Surgery by Myelopathy

𝑶𝑷𝑳𝑳 𝒊𝒔 𝒂 𝒔𝒆𝒓𝒊𝒐𝒖𝒔 𝒅𝒊𝒔𝒐𝒓𝒅𝒆𝒓 𝒕𝒉𝒂𝒕 𝒄𝒂𝒖𝒔𝒆𝒔 𝒗𝒆𝒓𝒕𝒆𝒃𝒓𝒂𝒍 𝒍𝒊𝒈𝒂𝒎𝒆𝒏𝒕 𝒄𝒂𝒍𝒄𝒊𝒇𝒊𝒄𝒂𝒕𝒊𝒐𝒏 𝒂𝒏𝒅 𝒈𝒓𝒂𝒅𝒖𝒂𝒍 𝒈𝒓𝒐𝒘𝒕𝒉, 𝒓𝒆𝒔𝒖𝒍𝒕𝒊𝒏𝒈 𝒊𝒏 𝒔𝒑𝒊𝒏𝒂𝒍 𝒔𝒕𝒆𝒏𝒐𝒔𝒊𝒔 𝒂𝒏𝒅, 𝒊𝒏 𝒔𝒆𝒗𝒆𝒓𝒆 𝒄𝒂𝒔𝒆𝒔, 𝒑𝒂𝒓𝒂𝒍𝒚𝒔𝒊𝒔 𝒅𝒖𝒆 𝒕𝒐 𝒔𝒑𝒊𝒏𝒂𝒍 𝒄𝒐𝒓𝒅 𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏. @𝐚𝐥𝐬𝐡𝐚𝐫𝐞𝐟𝐬𝐩𝐢𝐧𝐞 𝐩𝐞𝐫𝐟𝐨𝐫𝐦 𝒂𝒍𝒍 𝒓𝒆𝒍𝒂𝒕𝒆𝒅 𝒔𝒖𝒓𝒈𝒊𝒄𝒂𝒍 𝒕𝒓𝒆𝒂𝒕𝒎𝒆𝒏𝒕𝒔 ( 𝒂𝒏𝒕𝒆𝒓𝒊𝒐𝒓 , 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝒂𝒏𝒅 𝒄𝒐𝒎𝒃𝒊𝒏𝒆𝒅 𝒔𝒖𝒓𝒈𝒆𝒓𝒊𝒆𝒔) 𝒐𝒏 𝒕𝒉𝒐𝒔𝒆 𝒄𝒂𝒔𝒆𝒔 𝒆𝒗𝒆𝒏 𝒃𝒚 𝒔𝒆𝒗𝒆𝒓𝒆𝒔𝒕 𝒔𝒕𝒆𝒏𝒐𝒔𝒊𝒔.
𝑶𝑷𝑳𝑳 -𝒔𝒖𝒓𝒈𝒆𝒓𝒊𝒆𝒔 𝒔𝒉𝒐𝒖𝒍𝒅 𝒃𝒆 𝒅𝒐𝒏𝒆 𝒖𝒏𝒅𝒆𝒓 𝒏𝒆𝒖𝒓𝒐𝒎𝒐𝒏𝒊𝒕𝒐𝒓𝒊𝒏𝒈 𝒊𝒏 𝒔𝒑𝒆𝒄𝒊𝒂𝒍 𝒔𝒑𝒊𝒏𝒆 𝒄𝒆𝒏𝒕𝒓𝒆.
𝑯𝒆𝒓𝒆 𝒐𝒏𝒆 𝒐𝒇 𝒎𝒚 𝒕𝒓𝒆𝒂𝒕𝒆𝒅 𝒄𝒂𝒔𝒆𝒔 𝒘𝒊𝒕𝒉 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝒅𝒆𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏 𝒂𝒏𝒅 𝒇𝒖𝒔𝒊𝒐𝒏 𝑪𝟒-𝑪𝟕.

Traumatic Anterolisthesis /Luxation Fracture C6/7

𝑹𝒆𝒑𝒐𝒔𝒊𝒕𝒊𝒐𝒏 𝑨𝑪𝑫𝑭 𝑪𝟔/𝟕 𝒃𝒚 𝑳𝒖𝒙𝒂𝒕𝒊𝒐𝒏 𝒇𝒓𝒂𝒄𝒕𝒖𝒓𝒆 𝑪𝟔/𝟕 𝒘𝒊𝒕𝒉 𝒅𝒊𝒔𝒄𝒐𝒍𝒊𝒈𝒂𝒎𝒆𝒏𝒕𝒂𝒓 𝑳𝒆𝒔𝒊𝒐𝒏, 𝒇𝒂𝒄𝒆𝒕 𝒋𝒐𝒊𝒏𝒕 𝒇𝒓𝒂𝒄𝒕𝒖𝒓𝒆 𝑪𝟔/𝟕𝒂𝒏𝒅 𝒕𝒓𝒂𝒖𝒎𝒂𝒕𝒊𝒄 𝒂𝒏𝒕𝒆𝒓𝒐𝒍𝒊𝒔𝒕𝒉𝒆𝒔𝒊𝒔.

ACDF C4-C6

𝑨𝑪𝑫𝑭 𝑪𝟒-𝑪𝟔 𝒘𝒊𝒕𝒉 𝒔𝒆𝒒𝒖𝒆𝒔𝒕𝒓𝒆𝒄𝒕𝒐𝒎𝒚 , 𝒅𝒆𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏 𝒐𝒇 𝑴𝒚𝒆𝒍𝒐𝒏 𝑪𝟒-𝑪𝟔 , 𝒖𝒏𝒅𝒆𝒓𝒄𝒖𝒕𝒕𝒊𝒏𝒈 𝑪𝟒-𝑪𝟔 𝒂𝒏𝒅 𝑭𝒖𝒔𝒊𝒐𝒏 𝒘𝒊𝒕𝒉 𝑪𝒂𝒈𝒆 𝒂𝒏𝒅 𝒑𝒍𝒂𝒕𝒆.

ACDF C4-C7 and correction of Alignment

𝑨𝑪𝑫𝑭 𝑪𝟒-𝑪𝟕 , 𝑹𝒆𝒄𝒐𝒏𝒔𝒕𝒓𝒖𝒄𝒕𝒊𝒐𝒏 𝒐𝒇 𝑨𝒍𝒊𝒈𝒏𝒎𝒆𝒏𝒕 𝒃𝒚 𝒔𝒆𝒗𝒆𝒓𝒆 𝒄𝒉𝒓𝒐𝒏𝒊𝒄 𝑪𝒆𝒓𝒗𝒊𝒄𝒐𝒃𝒓𝒂𝒄𝒉𝒊𝒂𝒍𝒈𝒊𝒂 𝒂𝒏𝒅 𝒔𝒆𝒈𝒎𝒆𝒏𝒕𝒂𝒍 𝑲𝒚𝒑𝒉𝒐𝒔𝒊𝒔.

Cervical Corpectomy C4 by severe Myelopathy/OPLL

𝑪𝒐𝒓𝒑𝒐𝒓𝒆𝒄𝒕𝒐𝒎𝒚 𝒐𝒇 𝑪𝟒 , 𝒅𝒆𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏 𝒐𝒇 𝑺𝒑𝒊𝒏𝒂𝒍 𝒄𝒐𝒓𝒅 𝑪 𝟑-𝑪𝟓, 𝒓𝒆𝒎𝒐𝒗𝒊𝒏𝒈 𝒐𝒇 𝑶𝑷𝑳𝑳 𝒂𝒇𝒕𝒆𝒓 𝒂𝒅𝒉𝒆𝒔𝒊𝒐𝒍𝒚𝒔𝒊𝒔 𝒂𝒏𝒅 𝑽𝒆𝒓𝒕𝒆𝒃𝒓𝒂𝒍 𝒃𝒐𝒅𝒚 𝒓𝒆𝒑𝒍𝒂𝒄𝒎𝒆𝒏𝒕 𝑪𝟒 𝒘𝒊𝒕𝒉 𝒆𝒙𝒑𝒂𝒏𝒅𝒂𝒃𝒍𝒆 𝒄𝒂𝒈𝒆 𝒂𝒏𝒅 𝒑𝒍𝒂𝒕𝒊𝒏𝒈 𝑪𝟑-𝑪𝟓

Reconstructive Complex Spine Surgery by Failed Back Surgery

𝑷𝒐𝒔𝒕𝒆𝒓𝒐-𝒂𝒏𝒕𝒆𝒓𝒐- 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝑹𝒆𝒗𝒊𝒔𝒊𝒐𝒏 𝒘𝒊𝒕𝒉 𝑹𝒆𝒔𝒕𝒐𝒓𝒊𝒏𝒈 𝒐𝒇 𝑳𝒐𝒓𝒅𝒐𝒔𝒊𝒔 𝒃𝒚 𝒇𝒂𝒊𝒍𝒆𝒅 𝒃𝒂𝒄𝒌 𝒔𝒖𝒓𝒈𝒆𝒓𝒚 𝑳𝟒-𝑺𝟏 𝒅𝒐𝒏𝒆 𝒊𝒏 𝒏𝒆𝒖𝒓𝒐𝒔𝒖𝒓𝒈𝒊𝒄𝒂𝒍 𝒖𝒏𝒊𝒗𝒆𝒓𝒔𝒊𝒕𝒚 𝒉𝒐𝒔𝒑𝒊𝒕𝒂𝒍 𝒊𝒎 𝑬𝒖𝒓𝒐𝒑𝒆 𝟐𝟎𝟏𝟒.
𝑰 𝑷𝒆𝒓𝒇𝒐𝒓𝒎𝒆𝒅 𝒕𝒐𝒅𝒂𝒚:
𝟏-𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝑬𝒙𝒑𝒍𝒂𝒏𝒕𝒂𝒕𝒊𝒐𝒏 𝒐𝒇 𝑺𝒄𝒓𝒆𝒘𝒔 𝑹𝒐𝒅 - 𝑺𝒚𝒔𝒕𝒆𝒎, 𝑹𝒆-𝑰𝒏𝒔𝒕𝒓𝒖𝒎𝒆𝒏𝒕𝒂𝒕𝒊𝒐𝒏 𝑳𝟒-𝑺𝟏 𝒘𝒊𝒕𝒉 𝒕𝒉𝒊𝒄𝒌𝒆𝒓 𝒔𝒄𝒓𝒆𝒘𝒔 ( 𝟕.𝟓), 𝒕𝒂𝒌𝒊𝒏𝒈 𝒐𝒇 𝑺𝒑𝒐𝒏𝒈𝒊𝒐𝒔𝒂 𝒇𝒓𝒐𝒎 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝒊𝒍𝒊𝒂𝒄 𝑪𝒓𝒆𝒔𝒕.
𝟐- 𝒂𝒏𝒕𝒆𝒓𝒊𝒐𝒓 𝑫𝒊𝒔𝒄𝒆𝒄𝒕𝒐𝒎𝒚 𝑳𝟓/𝑺𝟏 𝒗𝒊𝒂 𝒑𝒂𝒓𝒂- 𝒓𝒆𝒄𝒕𝒂𝒍 𝒓𝒆𝒕𝒓𝒐𝒑𝒆𝒓𝒊𝒕𝒐𝒏𝒆𝒂𝒍 𝑨𝒄𝒄𝒆𝒔𝒔 𝒕𝒐 𝑳𝟓/𝑺𝟏. 𝑰𝒏𝒕𝒆𝒓𝒔𝒐𝒎𝒂𝒕𝒊𝒄 𝑭𝒖𝒔𝒊𝒐𝒏 𝒊𝒏 𝑨𝑳𝑰𝑭- 𝑻𝒉𝒆𝒄𝒉𝒏𝒊𝒒𝒖𝒆.
𝟑- 𝒇𝒓𝒐𝒎 𝑷𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝑻𝑳𝑰𝑭 𝑳𝟒/𝟓 𝒇𝒓𝒐𝒎 𝒍𝒆𝒇𝒕𝒔𝒊𝒅𝒆 𝒂𝒏𝒅 𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏 𝑳𝟒/𝟓 𝒂𝒏𝒅 𝑳𝟓/𝑺𝟏. 𝑷𝒐𝒔𝒕𝒆𝒓𝒐𝒍𝒂𝒕𝒆𝒓𝒂𝒍 𝒔𝒑𝒐𝒏𝒅𝒚𝒍𝒐𝒅𝒆𝒔𝒊𝒔 𝑳𝟒-𝑺𝟏

Complex Revision Spine Surgery by Pseudarthrosis and displaced Cages intraforaminal

𝐩𝐨𝐬𝐭𝐞𝐫𝐢𝐨𝐫-𝐚𝐧𝐭𝐞𝐫𝐢𝐨𝐫-𝐩𝐨𝐬𝐭𝐞𝐫𝐢𝐨𝐫- 𝐑𝐞𝐯𝐢𝐬𝐢𝐨𝐧 𝐋𝟓/𝐒𝟏 𝐰𝐢𝐭𝐡:
𝟏- 𝐩𝐨𝐬𝐭𝐞𝐫𝐢𝐨𝐫 𝐄𝐱𝐩𝐥𝐚𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐋𝐨𝐨𝐬𝐢𝐧𝐠𝐢𝐧𝐠 𝐬𝐜𝐫𝐞𝐰𝐬 , 𝐑𝐞𝐢𝐧𝐬𝐭𝐫𝐮𝐦𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐰𝐢𝐭𝐡 𝟖.𝟓 𝐒𝐜𝐫𝐞𝐰𝐬
𝐑𝐞𝐟𝐨𝐫𝐚𝐦𝐢𝐧𝐨𝐭𝐨𝐦𝐲 𝐋𝟓/𝐒𝟏 𝐫𝐢𝐠𝐡𝐭𝐬𝐢𝐝𝐞 , 𝐚𝐝𝐡𝐞𝐬𝐢𝐨𝐥𝐲𝐬𝐢𝐬 𝐋𝟓 𝐧𝐞𝐫𝐯𝐞 𝐑𝐨𝐨𝐭. 𝐄𝐱𝐩𝐥𝐚𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐢𝐧𝐭𝐫𝐚𝐟𝐨𝐫𝐚𝐦𝐢𝐧𝐚𝐥 𝐝𝐢𝐬𝐩𝐥𝐚𝐜𝐞𝐝 𝐂𝐚𝐠𝐞 ( 𝟑𝟔 𝐲𝐞𝐚𝐫𝐬 𝐨𝐥𝐝 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐮𝐧𝐝𝐞𝐫𝐰𝐞𝐧𝐭 ( 𝐟𝐮𝐬𝐢𝐨𝐧 ) 𝐋𝟓/𝐒𝟏 𝟐𝟎𝟏𝟗 𝐢𝐧 𝐨𝐧𝐞 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥 , 𝐭𝐡𝐞𝐧 𝐑𝐞𝐯𝐢𝐬𝐢𝐨𝐧 𝐢𝐧 𝐚𝐧 𝐨𝐭𝐡𝐞𝐫 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥 𝟐𝟎𝟐𝟎 ).
𝐏𝐬𝐞𝐮𝐝𝐚𝐫𝐭𝐡𝐫𝐨𝐬𝐢𝐬 𝐋𝟓/𝐒𝟏 , 𝐥𝐨𝐨𝐬𝐢𝐧𝐠 𝐨𝐟 𝐒𝟏 𝐬𝐜𝐫𝐞𝐰𝐬 𝐚𝐧𝐝 𝐢𝐧𝐭𝐫𝐚𝐟𝐨𝐫𝐚𝐦𝐢𝐧𝐚𝐥 𝐝𝐢𝐬𝐩𝐥𝐚𝐜𝐞𝐝 𝐂𝐚𝐠𝐞.
𝟐- 𝐀𝐋𝐈𝐅 𝐋𝟓/𝐒𝟏 ( 𝐓𝐢𝐭𝐚𝐧 𝐂𝐚𝐠𝐞 𝐰𝐢𝐭𝐡 𝐚𝐮𝐭𝐨𝐥𝐨𝐠𝐨𝐮𝐬 𝐬𝐩𝐨𝐧𝐠𝐢𝐨𝐬𝐚 )
𝟑- 𝐏𝐨𝐬𝐭𝐞𝐫𝐢𝐨𝐫 𝐂𝐨𝐦𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧 𝐚𝐧𝐝 𝐩𝐨𝐬𝐭𝐞𝐫𝐨𝐥𝐚𝐭𝐞𝐫𝐚𝐥 𝐬𝐩𝐨𝐧𝐝𝐲𝐥𝐨𝐝𝐞𝐬𝐢𝐬 𝐰𝐢𝐭𝐡 𝐚𝐮𝐭𝐨𝐥𝐨𝐠𝐨𝐮𝐬 𝐚𝐧𝐝 𝐡𝐨𝐦𝐨𝐥𝐨𝐠𝐨𝐮𝐬 𝐛𝐨𝐧𝐞 𝐚𝐧𝐝 𝐁𝐌𝐏

Posterior Decompression and Fusion in TLIF -Technique

𝑭𝒖𝒔𝒊𝒐𝒏 𝑳𝟓/𝑺𝟏 𝒘𝒊𝒕𝒉 𝒊𝒏𝒕𝒆𝒓𝒔𝒐𝒎𝒂𝒕𝒊𝒄 𝑭𝒖𝒔𝒊𝒐𝒏 𝒊𝒏 𝑻𝑳𝑰𝑭- 𝒕𝒆𝒄𝒉𝒏𝒊𝒒𝒖𝒆 𝒃𝒚 𝒓𝒆𝒄𝒖𝒓𝒓𝒆𝒏𝒕 𝒎𝒂𝒔𝒔 𝑷𝒓𝒐𝒍𝒂𝒑𝒔 𝑳𝟓/𝑺𝟏 𝒘𝒊𝒕𝒉 𝒂𝒅𝒉𝒆𝒔𝒊𝒐𝒍𝒚𝒔𝒊𝒔 , 𝒔𝒆𝒒𝒖𝒆𝒔𝒕𝒓𝒆𝒄𝒕𝒐𝒎𝒚 𝒂𝒏𝒅 𝒏𝒆𝒖𝒓𝒐𝒍𝒚𝒔𝒊𝒔 𝑺𝟏 𝒏𝒆𝒓𝒗𝒆 𝒓𝒐𝒐𝒕 𝒍𝒆𝒇𝒕𝒔𝒊𝒅𝒆. 𝑺𝒕𝒂𝒕𝒖𝒔 𝑷𝒐𝒔𝒕 𝑫𝒊𝒔𝒄𝒆𝒄𝒕𝒐𝒎𝒚 𝒃𝒆𝒇𝒐𝒓𝒆 𝟐 𝒚𝒆𝒂𝒓𝒔.

Alt="Spondylolisthesis Surgery with ALIF L5/S1"

Lytic Spondylolisthesis/ Slipping Vertebra/ ALIF-Surgery/ Complex Spine Surgery

𝑺𝒍𝒊𝒑𝒑𝒊𝒏𝒈 𝒗𝒆𝒓𝒕𝒆𝒃𝒓𝒂( 𝒍𝒚𝒕𝒊𝒄 𝒅𝒚𝒑𝒍𝒂𝒔𝒕𝒊𝒄 𝑭𝒐𝒓𝒎) 𝒈𝒓𝒂𝒅 𝑰𝑰𝑰 𝒃𝒚 𝒔𝒑𝒏𝒅𝒚𝒍𝒐𝒍𝒚𝒔𝒊𝒔 𝒐𝒇 𝑳𝟓 𝒃𝒐𝒕𝒉 𝒔𝒊𝒅𝒆𝒔.
𝑰 𝒑𝒆𝒓𝒇𝒐𝒓𝒎𝒆𝒅 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓-𝒂𝒏𝒕𝒆𝒓𝒊𝒐𝒓 -𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝑹𝒆𝒑𝒐𝒔𝒊𝒕𝒊𝒐𝒏𝒔-𝒔𝒑𝒐𝒏𝒅𝒚𝒍𝒐𝒅𝒆𝒔𝒊𝒔 𝒘𝒊𝒕𝒉 𝑨𝑳𝑰𝑭 𝑳𝟓/𝑺𝟏 𝒂𝒏𝒅 𝒄𝒐𝒎𝒑𝒍𝒆𝒕𝒆𝒍𝒚 𝒓𝒆𝒑𝒐𝒔𝒊𝒕𝒊𝒐𝒏 𝒐𝒇 𝑳𝟓.𝑷𝒂𝒕𝒊𝒆𝒏𝒕𝒔 𝒘𝒊𝒕𝒉 𝒔𝒍𝒊𝒑𝒑𝒊𝒏𝒈 𝒗𝒆𝒓𝒕𝒆𝒃𝒓𝒂 𝒅𝒆𝒗𝒆𝒍𝒐𝒑 𝒔𝒆𝒗𝒆𝒓𝒆 𝒍𝒐𝒘 𝒃𝒂𝒄𝒌 𝒑𝒂𝒊𝒏 𝒘𝒊𝒕𝒉 𝒔𝒄𝒊𝒂𝒕𝒊𝒄 𝒓𝒂𝒅𝒊𝒂𝒕𝒊𝒐𝒏

Scoliosis Corrective Surgery/ Pediatrics

𝐩𝐨𝐬𝐭𝐞𝐫𝐢𝐨𝐫 𝐂𝐨𝐫𝐫𝐞𝐜𝐭𝐢𝐨𝐧 𝐒𝐩𝐨𝐧𝐝𝐲𝐥𝐨𝐝𝐞𝐬𝐢𝐬 𝐓𝟓-𝐋𝟒 𝐛𝐲 𝐩𝐫𝐨𝐠𝐫𝐞𝐬𝐬𝐢𝐯𝐞 𝐒𝐜𝐨𝐥𝐢𝐨𝐬𝐢𝐬 ( 𝟏𝟔 𝐲𝐞𝐚𝐫𝐬 𝐨𝐥𝐝 𝐏𝐚𝐭𝐢𝐞𝐧𝐭).

Scoliosis Correction Surgery

Correction Surgery by Scoliosis/Adult

Correction of degenerative Scoliosis ( De-Novo Lumbar Scoliosis)

𝑫𝒆𝒈𝒆𝒏𝒆𝒓𝒂𝒕𝒊𝒗𝒆 𝑳𝒖𝒎𝒃𝒂𝒓 𝑺𝒄𝒐𝒍𝒊𝒐𝒔𝒊𝒔 𝒘𝒊𝒕𝒉 𝑰𝒏𝒔𝒕𝒂𝒃𝒊𝒍𝒊𝒕𝒚, 𝑺𝒑𝒐𝒏𝒅𝒚𝒍𝒐𝒍𝒊𝒔𝒕𝒉𝒆𝒔𝒊𝒔 𝑳𝟑/𝟒 𝒂𝒏𝒅 𝒄𝒍𝒊𝒏𝒊𝒄𝒂𝒍𝒍𝒚 𝒄𝒉𝒓𝒐𝒏𝒊𝒄 𝒔𝒆𝒗𝒆𝒓𝒆 𝑳𝒖𝒎𝒃𝒐-𝒔𝒄𝒊𝒂𝒕𝒊𝒄 𝒑𝒂𝒊𝒏 𝒂𝒏𝒅 𝒏𝒆𝒖𝒓𝒐𝒈𝒆𝒏𝒊𝒄 𝑪𝒍𝒂𝒖𝒅𝒊𝒄𝒂𝒕𝒊𝒐𝒏. 𝑰 𝒑𝒆𝒓𝒇𝒐𝒓𝒎𝒆𝒅 𝒄𝒐𝒓𝒓𝒆𝒄𝒕𝒊𝒐𝒏 𝑺𝒑𝒐𝒏𝒅𝒚𝒍𝒐𝒅𝒆𝒔𝒊𝒔 𝑳𝟐-𝑳𝟒 𝒘𝒊𝒕𝒉 𝒊𝒏𝒕𝒆𝒓𝒔𝒐𝒎𝒂𝒕𝒊𝒄 𝑭𝒖𝒔𝒊𝒐𝒏 𝒊𝒏 𝑿𝑳𝑰𝑭 𝒕𝒆𝒄𝒉𝒏𝒊𝒒𝒖𝒆 𝑳𝟑/𝟒 𝒂𝒏𝒅 𝑳𝟐/𝟑.

Alt="Spondylodiscitis and Spinal Infection"

Spondylodiscitis/Spinal Infection

𝑺𝒑𝒆𝒄𝒊𝒇𝒊𝒄 𝒐𝒓 𝒏𝒐𝒏 𝒔𝒑𝒆𝒄𝒊𝒇𝒊𝒄 𝒔𝒑𝒊𝒏𝒂𝒍 𝑰𝒏𝒇𝒆𝒄𝒕𝒊𝒐𝒏𝒔 𝒂𝒔 𝒔𝒑𝒐𝒏𝒅𝒚𝒍𝒐𝒅𝒊𝒔𝒄𝒊𝒕𝒊𝒔/ 𝒅𝒊𝒔𝒄𝒊𝒕𝒊𝒔 𝒂𝒓𝒆 𝒔𝒆𝒓𝒊𝒐𝒖𝒔 𝒅𝒊𝒔𝒆𝒂𝒔𝒆𝒔 𝒐𝒇 𝒕𝒉𝒆 𝒔𝒑𝒊𝒏𝒆 𝒂𝒏𝒅 𝒏𝒆𝒆𝒅 𝒕𝒐 𝒃𝒆 𝒕𝒓𝒆𝒂𝒕𝒆𝒅 𝒄𝒐𝒏𝒔𝒆𝒒𝒖𝒆𝒏𝒕. 𝑰𝒏 𝒕𝒉𝒊𝒔 𝒄𝒂𝒔𝒆 𝒑𝒂𝒕𝒊𝒆𝒏𝒕 𝒉𝒂𝒅 𝒔𝒑𝒐𝒏𝒅𝒚𝒍𝒐𝒅𝒊𝒔𝒄𝒊𝒕𝒊𝒔 𝑳𝟑/𝟒 𝒘𝒊𝒕𝒉 𝒑𝒔𝒐𝒂𝒔 𝒂𝒃𝒔𝒄𝒆𝒔𝒔 𝒂𝒏𝒅 𝒅𝒆𝒔𝒕𝒂𝒃𝒊𝒍𝒊𝒛𝒊𝒏𝒈 𝒐𝒇 𝒔𝒆𝒈𝒎𝒆𝒏𝒕 𝑳𝟑/𝟒. 𝑰 𝒑𝒆𝒓𝒇𝒐𝒓𝒎𝒆𝒅 𝒂𝒏𝒕𝒆𝒓𝒊𝒐𝒓- 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝒔𝒑𝒐𝒏𝒅𝒚𝒍𝒐𝒅𝒆𝒔𝒊𝒔 𝒘𝒊𝒕𝒉 𝒓𝒆𝒔𝒆𝒄𝒕𝒊𝒐𝒏 𝒐𝒇 𝒕𝒉𝒆 𝒅𝒊𝒔𝒄 𝒂𝒏𝒅 𝒅𝒆𝒃𝒓𝒊𝒅𝒆𝒎𝒆𝒏𝒕 𝒗𝒊𝒂 𝒍𝒖𝒎𝒃𝒐𝒕𝒐𝒎𝒚, 𝒄𝒂𝒈𝒆- 𝒊𝒏𝒕𝒆𝒓𝒑𝒐𝒔𝒊𝒕𝒊𝒐𝒏 𝒂𝒏𝒅 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝒕𝒓𝒂𝒏𝒔𝒑𝒆𝒅𝒊𝒄𝒖𝒍𝒂𝒓 𝒊𝒏𝒔𝒕𝒓𝒖𝒎𝒆𝒏𝒕𝒂𝒕𝒊𝒐𝒏

ALIF-Fusion- Surgery ( Anterior Lumbar interbody Fusion)

𝒂𝒅𝒗𝒂𝒏𝒄𝒆𝒅 𝒉𝒊𝒈𝒉- 𝒆𝒏𝒅 𝑺𝒑𝒊𝒏𝒆 𝑺𝒖𝒓𝒈𝒆𝒓𝒚 𝒘𝒊𝒕𝒉 𝒈𝒆𝒓𝒎𝒂𝒏 🇩🇪 𝑺𝒕𝒂𝒏𝒅𝒂𝒓𝒅𝒔 𝒊𝒏 𝑫𝒖𝒃𝒂𝒊.
𝑰 𝒑𝒆𝒓𝒇𝒐𝒓𝒎 𝑭𝒖𝒔𝒊𝒐𝒏- 𝑺𝒖𝒓𝒈𝒆𝒓𝒊𝒆𝒔 𝒊𝒏 𝒅𝒊𝒇𝒇𝒆𝒓𝒆𝒏𝒕 𝑻𝒆𝒄𝒉𝒏𝒊𝒒𝒖𝒆𝒔, 𝒅𝒆𝒑𝒆𝒏𝒅𝒊𝒏𝒈 𝒐𝒏 𝒚𝒐𝒖𝒓 𝑺𝒑𝒊𝒏𝒂𝒍 𝒑𝒂𝒕𝒉𝒐𝒍𝒐𝒈𝒊𝒆𝒔.

𝑨𝑳𝑰𝑭 - 𝑻𝑳𝑰𝑭 𝑨𝑵𝑫 𝑿𝑳𝑰𝑭 𝑺𝑼𝑹𝑮𝑬𝑹𝑰𝑬𝑺 𝒂𝒓𝒆 𝒓𝒐𝒖𝒕𝒊𝒏𝒆 𝒂𝒏𝒅 𝒔𝒂𝒇𝒆 𝒔𝒖𝒓𝒈𝒆𝒓𝒊𝒆𝒔 𝒊𝒏 𝒐𝒖𝒓 𝑯𝒂𝒏𝒅𝒔.

Complex Revision Spine Surgery by 2 failed back surgeries.

Lytic Spondylolisthesis L5/S1

posterior instrumented Decompression- reposition Spondylodesis with intersomatic Fusion in TLIF Technique and posterolateral Spondylodesis by Lytic Spondylolisthesis L5/S1 Meyerding Grad I with severe progressive Lumbo- Sciatic Pain.

360 Grad Fusion with ALIF L5/S1

𝑨𝒏𝒕𝒆𝒓𝒊𝒐𝒓- 𝑷𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓-𝒓𝒆𝒄𝒐𝒏𝒔𝒕𝒓𝒖𝒄𝒕𝒊𝒐𝒏 𝑳𝟓/𝑺𝟏 𝒘𝒊𝒕𝒉 𝑨𝑳𝑰𝑭 𝑳𝟓/𝑺𝟏 , 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝑰𝒏𝒔𝒕𝒓𝒖𝒎𝒆𝒏𝒕𝒂𝒕𝒊𝒐𝒏 𝒂𝒏𝒅 𝒅𝒆𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏 𝒐𝒇 𝑺𝟏 𝒏𝒆𝒓𝒗𝒆 𝒓𝒐𝒐𝒕 𝒓𝒊𝒈𝒉𝒕 𝒔𝒊𝒅𝒆 𝒃𝒚 𝒄𝒉𝒓𝒐𝒏𝒊𝒄 𝒑𝒓𝒐𝒈𝒓𝒆𝒔𝒔𝒊𝒗𝒆 𝑳𝒖𝒎𝒃𝒐-𝑺𝒄𝒊𝒂𝒕𝒊𝒄 𝒑𝒂𝒊𝒏 𝒂𝒏𝒅 𝒑𝒐𝒔𝒕𝒏𝒖𝒄𝒍𝒆𝒐𝒕𝒐𝒎𝒚 𝑺𝒚𝒏𝒅𝒓𝒐𝒎𝒆.

Lumbopelvine Stabilization by Sacrum Fracture

L4-OS Ilium Stabilization by instable Sacrum Fracture with S1/S2 Kyphosis

Corpectomy and Anterior posterior Reconstruction by T12 complete Bursting Fracture

𝑺𝒕𝒂𝒕𝒖𝒔 𝑷𝒐𝒔𝒕 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓- 𝒂𝒏𝒕𝒆𝒓𝒊𝒐𝒓 - 𝑺𝒑𝒐𝒏𝒅𝒚𝒍𝒐𝒅𝒆𝒔𝒊𝒔 𝒘𝒊𝒕𝒉 𝑪𝒐𝒓𝒑𝒐𝒓𝒄𝒕𝒐𝒎𝒚 𝑻𝟏𝟐 𝒗𝒊𝒂 𝒕𝒉𝒐𝒓𝒂𝒄𝒐𝒕𝒐𝒎𝒚 𝒂𝒏𝒅 𝒗𝒆𝒓𝒕𝒆𝒃𝒓𝒂𝒍- 𝑩𝒐𝒅𝒚- 𝒓𝒆𝒑𝒍𝒂𝒄𝒆𝒎𝒆𝒏𝒕. 𝑷𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝒊𝒏𝒔𝒕𝒓𝒖𝒎𝒆𝒏𝒕𝒂𝒕𝒊𝒐𝒏 𝑻𝟏𝟏-𝑳𝟏 𝒃𝒚 𝒃𝒖𝒓𝒔𝒕𝒊𝒏𝒈 𝒇𝒓𝒂𝒄𝒕𝒖𝒓𝒆 𝑻𝟏𝟐.

Pre-and Post Surgery Gait by Cervical Myelopathy

𝑺𝒕𝒂𝒕𝒖𝒔 𝒑𝒐𝒔𝒕 𝒑𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓 𝒅𝒆𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏 𝒂𝒏𝒅 𝒇𝒖𝒔𝒊𝒐𝒏 𝑪𝟒-𝑪𝟕.
𝑰𝒎 𝒗𝒆𝒓𝒚 𝒉𝒂𝒑𝒑𝒚 𝒇𝒐𝒓 𝒕𝒉𝒆 𝒄𝒍𝒊𝒏𝒊𝒄𝒂𝒍 𝒄𝒐𝒖𝒓𝒔𝒆 𝒐𝒇 𝒕𝒉𝒆 𝒑𝒂𝒕𝒊𝒆𝒏𝒕:
✅𝑯𝒊𝒔 𝑮𝒂𝒊𝒕 𝒊𝒎𝒑𝒓𝒐𝒗𝒆𝒅 , 𝒉𝒆 𝒉𝒂𝒔 𝒎𝒐𝒓𝒆 𝒃𝒂𝒍𝒂𝒏𝒄𝒆 𝒂𝒏𝒅 𝒔𝒕𝒂𝒃𝒊𝒍𝒊𝒕𝒚 𝒐𝒇 𝒃𝒐𝒕𝒉 𝒍𝒆𝒈𝒔 ( 𝒔𝒆𝒆 𝒍𝒆𝒇𝒕 𝑽𝒊𝒅𝒆𝒐 𝒊𝒏 𝒄𝒐𝒎𝒑𝒂𝒓𝒆 𝒘𝒊𝒕𝒉 𝒕𝒉𝒆 𝒑𝒓𝒆𝒐𝒑𝒆𝒓𝒂𝒕𝒊𝒗 𝒓𝒊𝒈𝒉𝒕 𝒗𝒊𝒅𝒆𝒐).

Complex Spine Surgery with Correction of Posttraumatic Kyphosis Thoracolumbar

𝒑𝒐𝒔𝒕𝒕𝒓𝒂𝒖𝒎𝒂𝒕𝒊𝒄 𝒑𝒂𝒕𝒉𝒐𝒍𝒐𝒈𝒊𝒄𝒂𝒍 𝒄𝒚𝒑𝒉𝒐𝒔𝒊𝒔 𝒕𝒉𝒐𝒓𝒂𝒄𝒐𝒍𝒖𝒎𝒃𝒂𝒓 𝒃𝒚 𝒃𝒖𝒓𝒔𝒕𝒊𝒏𝒈 𝒇𝒓𝒂𝒄𝒕𝒖𝒓𝒆 𝑻𝟏𝟐 𝒘𝒊𝒕𝒉 𝒉𝒊𝒈𝒉 𝒈𝒓𝒂𝒅𝒆 𝒔𝒑𝒊𝒏𝒂𝒍 𝒄𝒂𝒏𝒂𝒍 𝒔𝒕𝒆𝒏𝒐𝒔𝒊𝒔 𝒂𝒏𝒅 𝒏𝒆𝒄𝒓𝒐𝒔𝒊𝒔 𝒐𝒇 𝑻𝟏𝟐.
𝑷𝒆𝒓𝒇𝒐𝒓𝒎𝒆𝒅 𝒑𝒓𝒐𝒄𝒆𝒅𝒖𝒓𝒆:
𝑪𝒆𝒎𝒆𝒏𝒕 𝒂𝒖𝒈𝒎𝒆𝒏𝒕𝒆𝒅 𝑷𝒐𝒔𝒕𝒆𝒓𝒊𝒐𝒓-𝒂𝒏𝒕𝒆𝒓𝒊𝒐𝒓 𝑺𝒑𝒐𝒏𝒅𝒚𝒍𝒐𝒅𝒆𝒔𝒊𝒔 𝒘𝒊𝒕𝒉 𝒄𝒐𝒓𝒓𝒆𝒄𝒕𝒊𝒐𝒏 𝒐𝒇 𝒑𝒐𝒔𝒕𝒓𝒂𝒖𝒎𝒂𝒕𝒊𝒄 𝒄𝒚𝒑𝒉𝒐𝒔𝒊𝒔 , 𝒅𝒆𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏 𝒐𝒇 𝒔𝒑𝒊𝒏𝒂𝒍 𝒄𝒂𝒏𝒂𝒍, 𝒄𝒐𝒓𝒑𝒐𝒓𝒆𝒄𝒕𝒐𝒎𝒚 𝑻𝟏𝟐 𝒗𝒊𝒂 𝒕𝒉𝒐𝒓𝒂𝒄𝒐𝒕𝒐𝒎𝒚 𝒇𝒓𝒐𝒎 𝒍𝒆𝒇𝒕 𝒔𝒊𝒅𝒆 𝒂𝒏𝒅 𝒗𝒆𝒓𝒕𝒆𝒃𝒓𝒂𝒍 𝒃𝒐𝒅𝒚 𝒓𝒆𝒑𝒍𝒂𝒄𝒆𝒎𝒆𝒏𝒕 𝑻𝟏𝟐. 𝑻𝒉𝒆 𝒘𝒉𝒐𝒍𝒆 𝒔𝒖𝒓𝒈𝒆𝒓𝒚 𝒅𝒐𝒏𝒆 𝒊𝒏 𝒐𝒏𝒆 𝑺𝒆𝒔𝒔𝒊𝒐𝒏.

Revision Spine Surgery/Cervical Spine

𝑹𝒆𝒗𝒊𝒔𝒊𝒐𝒏- 𝒔𝒖𝒓𝒈𝒆𝒓𝒚 : 𝒆𝒙𝒑𝒍𝒂𝒏𝒂𝒕𝒊𝒐𝒏 𝒐𝒇 𝒕𝒉𝒆 𝒑𝒓𝒐𝒔𝒕𝒉𝒆𝒔𝒊𝒔( 𝒊𝒎𝒑𝒍𝒂𝒏𝒕𝒆𝒅 𝒊𝒏 𝒂𝒏𝒐𝒕𝒉𝒆𝒓 𝒉𝒐𝒔𝒑𝒊𝒕𝒂𝒍) , 𝑹𝒆- 𝑫𝒊𝒔𝒄𝒆𝒄𝒕𝒐𝒎𝒚 𝑪𝟓/𝟔 𝒂𝒏𝒅 𝒅𝒆𝒄𝒐𝒎𝒑𝒓𝒆𝒔𝒔𝒊𝒐𝒏 𝒐𝒇 𝒔𝒑𝒊𝒏𝒂𝒍 𝒄𝒂𝒏𝒂𝒍 ,𝒖𝒏𝒅𝒆𝒓𝒄𝒖𝒕𝒕𝒊𝒏𝒈 𝑪𝟓/𝟔 𝒂𝒏𝒅 𝑭𝒖𝒔𝒊𝒐𝒏 𝒘𝒊𝒕𝒉 𝑪𝒂𝒈𝒆 𝒇𝒊𝒍𝒍𝒆𝒅 𝒘𝒊𝒕𝒉 𝒂𝒖𝒕𝒐𝒍𝒐𝒈𝒐𝒖𝒔 𝒔𝒑𝒐𝒏𝒈𝒊𝒐𝒔𝒂 𝒂𝒏𝒅 𝒑𝒍𝒂𝒕𝒕𝒊𝒏𝒈.