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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.

28-November-2013

Magnetom Skyra 3 tesla with all clinical applications start to run.

 

 
 
 
 

1. 01-APRIL-2007  AHMAD SALEEM QARAAN  65 YEARS  HUGE EXTRUDED DISC L4-5 RIGHT SIDE WITH DOWNWARD MIGRATION AND DROP RIGHT FOOT. 

 
 

 
 

Anamnesis

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The patient came to the emergency of Al-Shmaisani hospital with drop right foot and agonizing sciatica right side for 10 days.

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MRI of the lumbar spine performed 2 days ago showed a huge extrusion of L4-5 with right downward migration.

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On examination: the patient cannot walk with SLRS 20 degrees and drop right foot with analgesia of the right L5 root territory.

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The patient is a known diabetic and he was put under observation for his diabetic scale.

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Right L4-5 hemiflavotomy was done and the extrusion was removed and the disc space of L4-5 was cleaned from the right side.

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Routine closure of the wound and smooth postoperative recovery with improvement of the motor power right foot.

Comments:

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The extrusion was reaching the posterior aspect of the root. It was removed and to keep the root under visual control, the piece was removed in several fragments.

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Considering that the intradiscal material was friable, meticulous cleaning of the disc space was performed to decrease the rate of recurrence.

 

 
     
 

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