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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.  10-MARCH-2007  AMAL MAHMOOD ABDEL-QADER 31 YEARS EXTRUDED DISC C6-7 LEFT MIDIO-LATERAL.

 
 

 
 

Anamnesis

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The patient came to the clinic 05-March-2007 complaining of neck pain for 18 months with right radicular pain for 9 months and numbness both hands for 3 weeks. 

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MRI of the cervical spine performed 03-March-2007 showing a huge extruded disc C6-7 with left midio-lateral localization.

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On examination; the patient had limitation of neck movement with severe weak flexion and extension of both hands and both triceps muscles. She had positive Hoffmann sign both sides, for what brain CT-scan was performed and it was normal. The patient was advised to undergo surgery.

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Discectomy of C6-7 was performed through anterior approach and after cleaning of the disc space at C6-7, the defect of the posterior longitudinal ligament was widened to make the extrusion coming out and removed. Several fragments were removed.

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The dura was glistening relaxed and check of the foramena was negative for remnants.

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Routine closure of the wound and smooth postoperative recovery with disappearance of the radicular syndrome.

Comments:

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The bony elements practically were untouched and the single level all make unnecessary to put artificial devices, such as artificial disc or fusion devices of several types. Here the presence of Leuscko joints in the lateral aspect of the disc space, provide the stability, taken together with other supporting elements.

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The good news in cervical disc surgery, that, there is no recurrence in comparison to the lumbar disc which still having recurrence rate around 7-10%.

 
     
 

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