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
The patient suffered RTA 2
days ago and came to hospital transferred from elsewhere. She had
complete disruption of the vertebral column at L1 with the D12
hanging anterior to it. Paraplegia below the lesion was complete
with Folly's and inability to move both lower limbs. Considering
that all the anatomical elements were destroyed, it was decided to
reduce and fix the spine using transpedicular screws inserted
between D11 and L3 with bridge. No attempt was done to explore the
already seen roots coming out to the field and the cut spinal cord.
This was decided, because further manipulations will add trauma to
the already traumatized cord and increase the incidence of
postoperative CSF leak.