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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-SEPTEMBER-2007  AHMAD MUHAMED AL-ZEER  55 YEARS  POSTTRAUMATIC SLIPPED MOST RIGHT UPPER SCREW OF THE HYBRID CERVICAL PLATE.

 

 
 

Anamnesis

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The patient was operated for posttraumatic multilevel segmental instability of the cervical spine more than one year ago and check X-rays were performed several times for the construct were acceptable.

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The patient suffered another RTA 25-August-2007 after what he started to complain of difficult swallowing.

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Check X-ray after trauma showed slipping of the most right upper screw in the construct.

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So as to avoid possible repetitive trauma to the esophagus, it was planned to remove the screw and put replace it with more wider diameter one with the same length.

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Using the same previous incision, the tip of the screw was identified, guided by image-intensifier, trying during that not to traumatize the esophagus or other important structures in the scarous field. The 4 mm diameter 16 mm length screw was replaced with 16 mm length 4.5 mm diameter and it was not loose.

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Smooth postoperative recovery.

Comments:

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The patient  was exposed to sheering force during accident and momentum was accumulated at the right upper part of the construct, which caused the slipping of the screw by counter-shock mechanism. The Reflex Hybrid system is designed to prevent such accidents, but any construct, whatever its advantages, cannot stand extreme circumstances.

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The purpose of the surgery is to prevent repetitive trauma during swallowing so as not to have esophageal fistula or tear, which could lead to disastrous sequelae.

 
     
 

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