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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.

 

 
 
 
 

08.  15-DECEMBER-2007  AHMAD REZIQ MAHMOUD  38 YEARS  LEFT UPWARD MIGRATING DISC L4-5 WITH SECONDARY SEVERE LCS L4-5.

 

 
 

Anamnesis

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The patient came to the clinic 13-December-2007 complaining of left sciatica  and LBP for 7 years. Exacerbation of the sciatica the last 20 days with numbness left foot. He has dripping of urine after voiding the last 6 months. 

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MRI done 24-November-2007 showed an extruded disc L4-5 with left upward migration resulting in severe lumbar canal stenosis at L4-5.

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The patient had weak dorsiflexion left foot 4/5 with hypalgesia left L5 territory.

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2/3 left L4-5 flavotomy was performed and foraminotomy of left L5 root was achieved. The upward migrating extrusion was removed, after then the disc space was cleaned meticulously from the left. Epidural fat transfer was performed to cover the root.

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Routine closure of the wound and smooth postoperative recovery.

Comments:

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The patient has extruded disc with severe segmental stenosis at L4-5, for what wide exposure and decompression was performed to eliminate all the compressing elements.

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The recurrence rate in this case is around the average -  7% because, the disc space is still high and the defect in the annulus fibrosis is wide.

 
     
 

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