NEWS

January/06/2007

Surgical treatment in paraplegia survey:

Cross-anastamosis in paraplegia below D9 started to give results. The last documented case operated 1 year ago in a patient from Israel came to the clinic 3 weeks ago. ECS and EMG performed showed that there is starting innervation of Th 11 and 12. The patient's lower limbs muscles became bulky and he could contract the lower abdominal muscles and some movements in the pelvic girdle. Crude sensation descended down to the inguinal level both sides. If you are more interested in this topic, click here!

March/08/2007

Tuberculosis of the spine

In the last 2 years the incidence of tuberculosis of the spinal column is becoming more frequent and having different clinico-morphologic picture. This phenomenon is alarming sign as the residual of the use of dirty bombs and several radioactive materials in the surrounding dirty wars in the region. For demonstration click here! and here!

20-AUGUST-2007

SIEMENS Digital C-arm is implemented and functioning in the Shmaisani hospital.

30-AUGUST-2007

The Inomed ISIS Highline neurophysiologic navigation system start to work at the operating room.

01. 01-NOVMBER-2007 SALEEM MUHAMED QUAY 30 YEARS EXTRUDED DISC C5-6 WITH LEFT FORAMINAL OCCLUSION

Anamnesis

	The patient came to the clinic 28-October-2007 complaining of neck pain for 2 months with severe left upper limb pain.
	MRI performed 25-November-2007 showing PCD C5-6 with extrusion and occlusion of the left foramen.
	On examination: weak grip and extension of the left hand and the triceps of the left arm. There is hypalgesia of the thumb of the left hand.
	Using ISIS Inomed Highline IOM right carotid scenario, discectomy of the C5-6 was performed with removal of the left sided extrusion.
	Routine closure of the wound.
	Smooth postoperative recovery, with improvement of the power the left upper limb.

Comments:

	More than 2000 cervical discectomies were performed during 29 years and there is no recurrence at all. This fact is coming from the anatomical relationship, which make it feasible to remove all the disc material.
	It is very rare to perform fusion or implanting devices in the disc space , when we are dealing with one level pathology. If there are signs of instability, then it was mandatory to perform fusion.
	Using IOM with carotid scenario, prevent and alarm the surgeon about the possible hidden events in the carotid during traction. Using RLN monitoring is not necessary in single level discectomy, because the plane of dissection is minimal.