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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.

 

 
 
 
 

01.  02-JULY-2007  ASYAT SHUAYYEB HAMZOGAH  62 YEARS  PCD C3-4 WITH SEVERE COMPRESSION OF THE SPINAL CORD AND MALACIA WITH SUBLUXATION OF C2-3.

 
 

 
 

Anamnesis

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The patient came to the clinic 16-August-1998 with right shoulder pain for 6 months with right lower limb pain for one month. MRI lumbar spine showed PLD L4-5 and she was treated conservatively. 

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The patient came 26-March-2001 with exacerbation of neck pain for 6 months with headache and hypertension. MRI of the cervical spine was done 28-March-2001 showing assimilation of C2-3 which was considered as a whole as C2. There were gliotic changes in the spinal cord at C3-4 without compression. The patient was treated conservatively.

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The patient came 25-May-2004 with left shoulder pain. There was weak grip, extension of the left hand and the triceps muscle left side. MRI was asked but she came 26-February-2006 with MRI bad quality showing PCD C4-5 and C5-6. She was asked to perform another MRI of the cervical spine.

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The patient came 30-June-2007 with MRI performed 26-June-2007 showing retrolisthesis of C2-3  with PCD C3-4 with severe compression of the spinal cord with malacia at that level.

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The patient had profound weak all muscles upper limbs more in the left side with numb both hands and Hoffmann sign positive both sides.

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 Discectomy of C3-4 with osteophytectomy was done. The bone was profusely bloody oozing, for what waxing was needed several times and the posterior longitudinal ligament was bony hard, for what it was necessary to drill it out, after what the dural was seen.

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Using 2 level cervical miniplate, fusion of C2-3-4 was done after nibbling the antero-inferior border of C3 bush it anteriorly.

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Smooth postoperative recovery with normalization of the power of both upper limbs.

Comments:

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The patient had gliotic changes, which mostly are present for several years. Immediate improvement of the power indicate, that these changes cannot give the conclusion for bad recovery.

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The aim of the surgery is arrest the escalation of deterioration. In case of improvement, it is a bonus to the patient.

 
     
 

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