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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  04-DECEMBER-2007  MANAL KAMEL QASEM  37 YEARS  HUGE EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.

 

 
 

Anamnesis

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The patient came to the clinic 01-December-2007 complaining of LBP for 10 years with left sciatica. MRI done 31-December-2002 showed bulge L4-5. The patient got exacerbation of her left sciatica the last 10 days.

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MRI performed 27-November-2007 showing huge extrusion of L4-5 with left downward migration.

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On examination: the patient is limping for one week with exaggerated scoliotic stance. SLRS was 20 degrees in the left with pain. She had almost drop left foot with weak planterflexion left foot 4/5 and hypalgesia left L5 and S1 territories.

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Left L4-5 hemiflavotomy with foraminotomy of left L5 root was performed and the extrusion was removed lateral to the axilla. Meticulous cleaning of the disc space was done from the left side. The epidural fat was transferred to cover the left L5 root. Routine closure of the wound.

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Smooth postoperative recovery.

Comments:

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The patient is very obese and other hospital refused to operate her due to that reason. Obesity is not contraindication for surgery and they must be treated as usual. She showed prompt postoperative improvement.

 
     
 

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