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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.

 

 
 
 
 

6. 07-APRIL-2007  ZAHER ATIYEH AL-HINNAWY  54 YEARS  LCS WITH BILATERAL FORAMINAL STENOSIS

 
 

 
 

Anamnesis

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The patient came to the Shmaisani hospital from USA complaining of progressive intermittent claudication. The patient weight is 155 Kg.

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MRI lumbar spine done recently showing lumbar canal stenosis L4-5 with bilateral foraminal stenosis

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On examination: The patient had no sciatica. SLRS was 90 degrees in both sides with weak dorsi and planterflexion both feet with sensory deficit over both L5 roots territory.

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Partial decompressive laminectomy of L4 and L5 laminae with removal of the hypertrophied ligamentum flavum with bilateral widening of the stenosed foramina of L5 roots was performed.

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The epidural fat which was shifted upward due to severe compression, was transferred down to the level of relaxed roots.

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Smooth postoperative recovery and normalization of the power of both feet.

Comments:

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The patient had progressive lumbar canal stenosis at L4-5 with foraminal stenosis. Even he is overweight, surgery must be a priority to resolve his problem and to help him later to struggle with his obesity.

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Foraminotomy must be preformed to eliminate all the compressive elements all over.

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Preservation of the epidural fat and using it to cover the most mobile neural parts is the best solution to prevent scar formation and ease his pain in the long run.

 

 
     
 

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