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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.

 

 
 
 
 

5.  15-MARCH-2007  KHAWLA MUHAMED SHAQER  50 YEARS  LUMBAR CANAL STENOSIS WITH FORAMINAL NARROWING BOTH SIDES.

 
 

 
 

Anamnesis

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The patient came to the clinic 25-February-2007 complaining of LBP for 11 years  with bilateral sciatica and inability to walk more than 50 meters with signs of bilateral carpal tunnel syndrome for 2 months more the left hand.

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MRI lumbar spine performed 24-October-2004 showing lumbar canal stenosis  L4-5.

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On examination: the patient  is limping  with exaggerated scoliotic stance. SLRS was  45 degrees in the right and 50 degrees with pain in both sides. Almost drop right foot with weak dorsiflexion left foot 4/5 and right foot planterflexion 4/5. Sensory los of the L5 and S1 territories both sides.

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MRI lumbar spine with MRMyelography was requested and done 26-February-2007 showing more severe LCS L4-5  with mild stable spondylolisthesis at that level.

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Decompressive laminectomy of L4 and 5 with foraminotomy for L5 roots both sides was achieved and all the compressive elements were eliminated.

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Inspection of the L4-5 disc space was negative for presence of any extrusion from the disc, for what it was decided not to violate it.

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

Comments:

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The relatively young age of the patient to such pathology with absence of osteoporosis, confirming that the cause is an inflammatory with hypertrophic changes of the ligamentum of flavum and the surrounding ligamentous structures around the facet joints. The presence of anatomical variation of segmental stenosis trigger the clinical manifestations.

 
     
 

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