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 .

10-FEBRUARY-2010  NABEEL MUHAMED ABU-SHAARA  37 YEARS  HUGE EXTRUDED DISC L5-S1 BOTH SIDES.

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

Anamnesis

bullet

The patient came to the clinic 14-April-2009 complaining of neck and LBP for 6 years. He was limping  with no scoliotic stance with SLRS 30 degrees both sides. There was weak dorsiflexion both feet 4/5.

bullet

MRI performed 13-May-2009 showing extruded disc L5-S1 central more to the right. The patient was advised to try conservative treatment  and disappeared.

bullet

The patient then came 07-February-2010 complaining of bilateral sciatica more to the left for 2 weeks with numbness left foot. The patient was limping with exaggerated scoliotic stance with SLRS 20 degrees in the right and 5 degrees in the left side. He had drop left foot with left foot planterflexion 2/5 and dorsiflexion right foot -4/5 and planterflexion right foot 4/5. He had hypalgesia left L5 and S1 territories.

bullet

MRI lumbar spine requested and done showing the old extrusion of L5-S1 and fresh extrusion in the left side.

bullet

Bilateral flavotomy of L5-S1 and bilateral foraminotomy of S1 roots was achieved. The extruded disc was removed from both sides and meticulous cleaning of the disc space was achieved from both sides.

bullet

Using PEEK Satellite spinal system, was not necessary because the disc space was shallow.

bullet

Routine closure of the wound.

bullet

Smooth postoperative recovery, with improvement of the power of both feet.


Comments

bullet

The surgeon think that he performed meticulous cleaning of the disc space, but it is not true. It is impossible to clean the disc space from even both sides, using the available standards.

bullet

The shallow disc space means minimal disc recurrence, for what the idea of nucleus replacement device was abandoned in this case.


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