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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.

 

 
 
 
 

02.  06-OCTOBER-2007  DR. MUHAMED FAROOQ AL-GHUZAH  29 YEARS  CENTRAL EXTRUDED DISC L5-S1 MORE TO THE RIGHT.

 

 
 

Anamnesis

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The patient came to the clinic 02-October-2007 complaining of LBP for 10 years after playing football and right sciatica for 3 years. Exacerbation of sciatica the last 5 months.

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MRI lumbar spine done 30-May-2006 showing central extrusion L5-S1.

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On examination: the patient has exaggerated scoliotic stance, limping when walking with agonizing sciatica. SLRS was 50 degrees in the right and 75 degrees in the left. Weak dorsiflexion right foot.

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MRI lumbar spine done 02-October-2007 showing further enlargement of the  disc L5-S1 more the right side.

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Using Inomed Highline IOM, the operation was performed. Foraminotomy of the right S1 root was performed and right 1/3 flavotomy L5-S1 achieved.

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The extruded disc was removed lateral to the axilla with right-sided cleaning of the disc space.

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Smooth postoperative recovery and  improvement of the power of left foot.

Comments:

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The patient has the disc space narrow. This parameters decrease the expected recurrence rate.

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The disc extrusion had a protracted course, which predict relatively persistent  pain  in the right hip in the long postoperative course.

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The epidural fat was preserved and reflected back around the root to prevent future fibrosis around the involved root.

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Inomed Highline IOM was used in this case.

 
     
 

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