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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.

 

 
 
 
 

2.  08-MAY-2007  NASER MUHAMED ZREQAT   44 YEARS  HUGE EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION  AND RIGHT COMPRESSION.

 
 

 
 

Anamnesis

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The patient came to the clinic 23-April-2007 complaining of right sciatica for 7 years, progressing in frequency.

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On examination: the patient had scoliotic stance  with painful SLRS 80 degrees in the right . There is weak dorsiflexion right foot.

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MRI lumbar spine performed 25-April-2007 showing extruded disc L5-S1 with wide base and right downward migration.

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Bilateral foraminotomy of S1 roots was performed and the right root was adherent and woody in consistency. The extruded downward migrating piece was removed from under the right axilla.

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Bilateral cleaning of the disc space, which was narrow and degenerative. The right S1 root became lax and the woody consistency was due to the woody extruded disc, which was removed in three pieces. Routine closure.

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Smooth postoperative recovery.

Comments:

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Recurrence in this case must be less than usual, because the disc space was narrow.

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Meticulous bilateral cleaning decrease the rated of recurrence.

 
     
 

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