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 .

 

15-JULY-2009  HADIYEH MUHAMMED HARB  61 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT FORAMINAL COMPRESSION.

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

Anamnesis:

bullet

The patient was transferred from other hospital with clinical signs of agonizing right sciatica for 4 days. The patient is a known diabetic.

bullet

MRI lumbar spine performed 13-July-2009 showing extruded disc L5-S1 with right foraminal occlusion.

bullet

On examination: the patient is limping with scoliotic stance and weak dorsi and planterflexion right foot 3/5 with hypalgesia of the right S1 root.

bullet

Right S1 foraminotomy was performed and the ligamentum flavum was reflect to the left. Removal of the extrusion lateral to the axilla and meticulous cleaning of L5-S1 space from the right. Considering that the disc space of L5-S1 was still high and the defect in the annulus fibrosis was wide, it was mandatory to insert the Satellite PEEK nucleus replacement No 15 after the last trail of No 14 from the left side. Check X-ray showed acceptable position. The patient had osteoporosis, for what so as to prevent slipping of the device, it was pushed more centrally and chips of bony fragments were inserted to the right side of the sphere. The sphere was not movable inside the disc space. Routine closure of the wound.

bullet

Smooth postoperative recovery with improvement of the power of the right foot.


Comments

bullet

The expected recurrence rate in this case is high, for what the Satellite PEEK nucleus replacement was applied to prevent further future collapse and minimize the rate of postoperative recurrence.

bullet

With presence of osteoporosis, insertion of the trail devices must be done with care and it is advised to modify the shape of the squashed trail sphere to have more tapered angle at the anterior edge to minimize the traumatic insertion


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 .

     

  

[2009] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved