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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.

 

 
 
 
 

4.  16-MAY-2007  IMAD MUHAMED AHMAD THIYAB  29 YEARS  EXTRUDED DISC L4-5 WITH LEFT FORAMINAL COMPRESSION.

 
 

 
 

Anamnesis

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The patient came to the clinic 13-May-2007 complaining of left sciatica for 40 days, progressing in frequency.

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On examination: the patient had scoliotic stance  with painful SLRS 20 degrees in the left . There is almost drop left foot, with hypalgesia left L5 and S1 territories.

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MRI lumbar spine performed 05-May-2007 showing bulging disc L5-S1 with extruded disc L4-5 with left foraminal compression.

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Left L4-5 hemiflavotomy with foraminotomy of left L5 root was performed. The extruded disc was removed lateral to the axilla.

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Meticulous intradiscal cleaning from the left side. The disc material was friable and inflammatory in appearance, confirming that discitis having place as the cause of his pathology.

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Gentamicine was flushed to the intradiscal space and routine closure of the wound.

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Smooth postoperative recovery.

Comments:

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The disc material was very friable and inflammatory in nature, indicating that localized discitis having place. It could be the cause of his extrusion and clinical course.

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Meticulous cleaning of the disc space and flushing the space with antibiotic is mandatory. The patient must be kept in antibiotic cover for a month at least to prevent spread of the infectious process.

 
     
 

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