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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. 02-MARCH-2007  REEMA MUHAMED ABU-LAYLA  42 YEARS  HUGE EXTRUDED DISC C5-6 RIGHT MIDIO-LATERAL.

 
 

 
 

Anamnesis

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The patient came to the emergency of Shmaisani hospital 4 days ago with agonizing neck pain and radiating to the right upper limb.

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MRI of the cervical spine performed 1 hour ago showing a huge extruded disc C5-6 with right midio-lateral localization.

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On examination; the patient had severe limitation of neck movement with severe weak flexion and extension of the right hand and the right triceps muscle. The patient was advised to undergo surgery.

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The patient came today, urging for surgery and she was operated urgently.

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Discectomy of C5-6 was performed through anterior approach and after cleaning of the disc space at C5-6, the defect of the posterior longitudinal ligament was widened to make the extrusion coming out and removed. Several fragments were removed from the right upper and lower corners.

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The dura was glistening relaxed and check of the foramen was negative for remnants.

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Routine closure of the wound and smooth postoperative recovery with disappearance of the radicular syndrome.

Comments:

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The bony elements practically were untouched and the single level all make unnecessary to put artificial devices, such as artificial disc or fusion devices of several types. Here the presence of Leuscko joints in the lateral aspect of the disc space, provide the stability, taken together with other supporting elements.

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The good news in cervical disc surgery, that, there is no recurrence in comparison to the lumbar disc which still having recurrence rate around 7-10%.

 
     
 

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