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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.

 

 
 
 
 

2. 01-APRIL-2007  LANA MUHAMED ABU-SQAER  34 YEARS  CENTRAL HUGE EXTRUSION OF L5-S1 WITH RIGHT SCIATICA.

 
 

 
 

Anamnesis

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The patient came to the clinic 25-March-2007 complaining of LBP for 5 years  with left sciatica for 3 months. Right sciatica for 1 month.

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MRI lumbar spine done 07-February-2007 showing extruded huge central disc L5-S1.

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On examination: the patient limping when walking. SLRS was 80 degrees with pain in the left. The patient had hypalgesia both L5 roots with weak dorsi and planterflexion both feet 4/5.

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Wide bilateral flavotomy L5-S1 was done with foraminotomy both S1 roots. The dura was very thin and transparent. The extruded disc was removed from the right side and inspection of the left side was performed. Right sided cleaning of the disc space was achieved.

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Routine closure of the wound and smooth postoperative recovery with improvement of the motor power both feet.

Comments:

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Considering that the extruded disc was central and the left side was more affected. Bilateral foraminotomy with inspection both sides must be done.

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The extruded disc was removed from the most prominent side and after left sided cleaning inspection of the annulus fibrosis confirmed no presence for extrusion or bulge in the right side, for what right-sided cleaning was not performed to decrease the rate of recurrence.

 

 
     
 

Copyright [2007] [CNS Clinic]. All rights reserved