www.neurosurgery.tv 
   

neurophysiology.ws
neurosurgery.tv
e-neuroradiology.com
onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
neuro.science

Surgical group is like a football team.

 
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.tv

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
cns-online.com
cns.surgery
cns.today
e-neurosurgery.com
neurosurgery.ag
neurosurgery.bz
neurosurgery.co
neurosurgery.cz
neurosurgery.gallery
neurosurgeryvideo.gallery
neurosurgicalvideo.gallery
neurosurgery.guru
neurosurgery.me
neurosurgery.mx
neurosurgery.photos
neurosurgery.tips
neurosurgery.tw
neurosurgeryspine.org
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.com
neurosurgicalencyclopedia.net
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
craniopharyngiomas.net
ependymomas.com
ependymomas.net
glioma.co
gliomas.info
meningiomas.info
meningiomas.org
neurooncology.me
neurooncology.tv
neurooncology.ws
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com
pituitaryadenoma.net
schwannomas.com

Neuroanatomical Sites
diencephalon.org
humanneuroanatomy.com
medullaoblongata.info
mesencephalon.org
microneuroanatomy.com

Neuroanesthesia Sites
neuroanesthesia.info

Neuroendocrinologiacl Site
humanneuroendocrinology.com

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com
neurophysiology.ws

Neuroradiological Sites
neuroradiology.ws

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns.clinic
cnsclinic.org
munirelias.com

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spondylolisthesis.info
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

07-OCTOBER-2010  SUMAYAH JACOB MAHMOUD HAJEER  61 YEARS  FRACTURE LUQUE FIXATING DEVICE INSERTED 1997 FOR SPONDYLOLISTHESIS L4-5.

Anamnesis

bullet

The patient was operated by me 1997 for spondylolisthesis of L4-5 using Luque rectangles with sublaminar wires, which were popular at that time.

bullet

The patient then came to me 03-October-2007 and gout, Behjcet disease, effusion both knees  with arterial hypertension were diagnosed and treated accordingly. She came with LSSX-ray showing good alignment of the construct.

bullet

The patient then came 05-October-2010 with agonizing LBP and right sciatica. She was irritable and could not find a position to relief her pain. This happened 2 days ago after lifting her father.

bullet

LSS X-ray done 04-Octobber-2010 showing the Luque rectangle fractured in the middle and the sublaminar wires are broken at several places.

bullet

On examination: The patient cannot be put in the examination bed to evaluate her, but SLRS was 05 degrees in the right with pain with no motor or sensory deficit. The patient now in colchecine  and cortisone 5 mg. Amlodepine 5 mg and Hypoten daily 50 mg daily.

bullet

The old wound was refreshed and the construct was identified and all the sublaminar wires were removed. The rectangle was broken in midway both sides. Check X-ray confirmed the presence of two metallic pieces under the lamina of L3 and L4, which were also removed. Control X-ray confirmed the complete removal of all parts of the Luque construct.

bullet

Routine closure of the wound and smooth postoperative recovery disappearance of right sciatica.


Comments

bullet

The patient suffered heavy stress that was the cause of device fracture with interruption of the sublaminar wires in the upper side.

bullet

The loose metallic fragments were the cause of the agonizing pain. Removal of them is a must.

bullet

The disc space of L4-5 became shallow and calcified over the last 13 years, that no more fixation is needed.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Back Up!

Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

  WELCOME TO AL-SHMAISANI HOSPITAL

  

[2010] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved