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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.

 

 
 
 
 

1.  10-FEBRUARY-2007 HIKMAT ALI JASEM 45 YEARS  EXTRUDED DISC L4-5 WITH LEFT MIDIO-LATERAL LOCALIZATION.

 
 

 
 

Anamnesis

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The patient came to the clinic 07-February-2007 complaining of LBP for 18 years . Left sciatica for three months, down to the lateral malleolus.

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MRI lumbar spine done 24-December-2006 showed prolapsed lumbar disc L4-5 with left midio-lateral extension with bulge L5-S1.

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On examination: the patient had exaggerated scoliotic stance and limping during walk. SLRS was 30 degrees in the left with pain. Weak dorsiflexion all toes left foot.

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Bilateral foraminotomy of both L5 roots was performed and the left root was inspected and the extrusion was removed lateral to the axilla in one piece. The intradiscal material was cleaned from the left side. The hole was relatively small and the disc space was also narrow.

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The contralateral disc surface was checked for extrusion. It was free.

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Routine closure with fat transfer and smooth postoperative recovery and normalization of the left foot power.

Comments:

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The disc space was narrow and the disc material was removed meticulously. These factors lower the incidence of recurrence.


 

 
     
 

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