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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-SEPTEMBER-2007  MUHAMED FADEL MATARIYEH  21 YEARS  FALLING DOWN FRACTURE DISLOCATION WITH BURST FRACTURE C5 WITH DENSE QUADRIPLEGIA  BELOW  C4.

 

 
 

Anamnesis

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The patient was transferred from another hospital after falling down from stair several hours ago at the morning of 06-August-2006 with complete paraplegia and anaesthesia below C4 both sides.

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CT-scan was done and showed severe bust fracture C5 with dislocation of C5 upon C6.

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Using hollow distraction with 5-6 Kg anterior approach was done and the flail anterior fragments of C5 were removed. Discectomy of C5-6 was performed and the extruded disc was removed.  Using verografin the alignment of the bony structures were reevaluated and  and further reduction was achieved. 

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Using the hybrid cervical miniplate with screws, fixation of C4-5 and C6 was performed and good alignment was achieved. The bony fragments were returned back to place under the construct for future bony fusion.

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The patient showed immediate improvement in power of C5 and C6 roots.

Comments:

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The patient  had severe trauma to the spinal cord. Reduction and fixation can help the stretched, but not ruptured roots to recover immediately.

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The recovery of the spinal cord will be governed by many factors, which will be clear in the next 9-12 months.

 
     
 

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