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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.

 

 
 
 
 

10.  12NOVEMBER-2007  DR. MAJED MUHAMED KHEIR AL-BOURINI  58 YEARS  LCS L2-3, L3-4 WITH PLD L3-4 LEFT SIDE.

 

 
 

Anamnesis

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The patient is gynecologist, who was operated by me 8 years ago for PLD L5-S1 and 5 years ago for PLD L1-2 and came to  the clinic 10 days ago with agonizing left sided sciatica for one month with difficulty of walking with bending foreword.

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MRI performed was of bad quality showed Lumbar canal stenosis L2-3 and L3-4.

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On examination: the patient has weak dorsiflexion both feet with planterflexion. SLRS was 50 degrees both sides with hypalgesia both L5 and S1 territories.

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The patient was sent to another MRI, which showed beside the stenosis a PLD L3-4 left side.

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Decompressive laminectomy of L2-3-4 was performed with foraminotomy of both L3 and L4 roots. Inspection of the disc of L3-4 was convincing for its removal, for what discectomy of L3-4 was performed and meticulous cleaning of the disc space was done from the left.

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Routine closure of the wound and smooth postoperative recovery with normalization of the power of both feet.

Comments:

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The patient during the last 10 years suffered from discopathy, which forced him to undergo three operations.

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In case of sciatica LCS cannot persuade the surgeon that LCS is the case and he must look for the genuine cause to resolve, as in this case the PLD of L3-4 left side.

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It happens that protrusion from the facet joint could lead to sciatica, but here the cause was the extruded disc.

 
     
 

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