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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.

 

 
 
 
 

03.  03-NOVEMBER-2007  MAHFOOTH ABDALLAH ABU-HASHEM  HUGE RECURRENCE OF PLD L4-5 WITH RIGHT DOWNWARD MIGRATION.

 

 
 

Anamnesis

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The patient was operated by me 14-December-2006. The patient showed  postoperative improvement of the power of the right foot.

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The patient  then came 29-April-2007 with exacerbation of the LBP with no sciatica. SLRS was 45 degrees in the right with no neurologic deficit.

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Check MRI performed 24-May-2007 showing a huge recurrence at the same level of L4-5 with right downward migration.

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The patient escaped and reappeared 23-October-2007  with deterioration of his condition with hypalgesia of the right S1 root and weak dorsi and planterflexion right foot.

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The patient was sent to another MRI, which done 30-October-2007 and confirmed the presence of the same extrusion seen at 24-May-2007.

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The right L5 root was exposed from the upper corner and followed down, dissecting during that the dense scar.

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Piece-meal removal of the extrusion lateral to the axilla. A huge amount of extrusion was removed and meticulous cleaning of the disc space from the right was performed.

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Smooth postoperative recovery with normalization of the power of the right foot.

Comments:

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Reviewing the previous surgery, it was believed that the patient mostly will catch a recurrence of his disc. This situation, can be avoided by installing some material inside the disc space after performing traction to avoid slippage of the inserted material. But, any foreign body have its disadvantages. In the future, if such material could stand practice will be introduced in the protocols in such situations.

 
     
 

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