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 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.
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06. 20-SEPTEMBER-2007
FIDA SALEEM AL-JAMAANI 34 YEARS EXTRUDED
RECURRENCE L5-S1 RIGHT SIDE.
Anamnesis
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The patient came to the
clinic 18-September-2005 complaining of LBP and
right sciatica after the surgery which was
performed 19-July-2004 elsewhere for (PLD
L4-5)?. |
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The patient had bilateral
sciatica more in the right with hypalgesia right
L5 root and weak dorsi both feet and
planterflexion right foot. |
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The patient was sent for MRI
lumbar spine which confirmed the presence of
residual after discectomy of L5-S1. Conservative
treatment was planned. |
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The patient then came
26-August-2007 complaining of exacerbation of
LBP with right sciatica with SLRS 40 degrees
both sides with weak dorsiflexion both feet with
stiff back. MRI lumbar spine was asked and
performed 04-September-2007, demonstrating a
huge recurrence of L5-S1 right side. |
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Foraminotomy of right S1 root
was performed and the root was foll0wed
proximally and the massive scar was dissected
sharply. |
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The extruded recurrence was
removed and the extruded annulus fibrosis was
removed also from the right with right-sided
cleaning of the disc space. |
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Smooth postoperative
recovery and improvement of the power of
both feet. |
Comments:
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The patient came with
information about wrong level of intervention,
without MRI data reflecting the preoperative
status. |
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The patient got deterioration
of her neurologic status after the first
surgery, as she claimed, but the performed MRI
showed no convincing data for surgical
intervention during 2005 period. |
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The patient then came
recently with huge extrusion of L5-S1, requiring
surgical intervention. The patient power
improved after surgery. |
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The disc space is shallow,
which indicate, that the recurrence rate for
this case is very low. |
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