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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.

 

 
 
 
 

03.  11-JULY-2007  IBTISAM AHMAD ABDALLAH  44 YEARS  EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.

 

 
 

Anamnesis

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The patient is a known insulin dependent diabetic, came to the clinic 09-July-2007, complaining of LBP for 4 years  with left sciatica the last 2 months with numbness of left S1 territory.

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MRI lumbar spine performed 07-July-2007 showed extruded disc L5-S1 with left downward migration.

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On examination: the patient in agonizing pain and SLRS 50 degrees in the right, shooting to the left and 30 degrees in the left. The AJ was absent in the left with weak dorsi and planterflexion left foot with hypalgesia of the left L5 and S1 roots territories.

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Left L5-S1 hemiflavotomy with left S1 foraminotomy was achieved. Small part of the extruded disc was removed lateral to the axilla, but the major part was removed under the axilla.

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Meticulous cleaning of the disc space was performed from the left side.

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Routine closure of the wound and smooth postoperative recovery.

Comments:

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The left L5 root was seen running parallel to the left S1 root. It could be a normal variant or an accessory nerve, which explain the wide spread involvement of the neurological deficit.

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The motor fibers recover immediately after the operation.

 
     
 

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