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
The patient came to the clinic 02-July-2006 complaining of inability
to walk and use upper limbs due to quadriparesis below C5 with the
weakness more pronounced in the right upper and lower limbs with
anaesthesia below D6 left side. The patient after bombing near
the home 01-April-2003 felt down and got fracture of C5 and C6 with
complete paraplegia at that level. The patient was operated at that
time. Anterior fixation was performed. The patient came to the
clinic in Jordan 02-July-2006 and on examination he had almost
quadriplegia more dense in the right side below C5 root with
hypalgesia below the umbilicus left side. It was decided to remove
the construct, so as to perform MRI investigation, and at the same
time the construct was flail and causing discomfort for him.
The patient was operated 06-July-2006 and removal of the flail
device was performed. MRI of the cervical spine performed
17-July-2006 showed malacia of the spinal cord behind C5 level. The
patient was given medications and advised to undergo aggressive
physiotherapeutic treatment and to be followed in regular base.
Smooth postoperative recovery.
Comments:
1. It seems that
the neurosurgeon, how performed the surgery was not only novice in
his practice, but inserting such a bad device, can cause harm to the
patient.
2. The priority for such cases is to resolve the problem
with neural soft tissues, and after then to decide what to do with
the bony alignment.
