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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.

 

 
 
 
 

04.  17-SEPTEMBER-2007  MAYSOON MUHAMED AL-AWWA  36 YEARS  EXTRUDED DISC L5-S1 RIGHT SIDE.

 

 
 

Anamnesis

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The patient came to the clinic 10-September-2007 complaining of LBP for 3 years with exacerbation the last three months. The last 2 months got right sciatica.

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MRI lumbar spine done 07-July-2007 showing extruded disc L5-S1 right side.

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On examination: SLRS was 45 degrees in the right and 80 degrees shooting to the right leg. There was weak dorsiflexion both feet and planterflexion right foot.

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The patient was given pain killers and new MRI was requested. The new MRI performed 12-September-2007 showing enlargement of the extrusion and she was advised to undergo surgery.

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right L5-S1 1/3 flavotomy with partial foraminotomy of right S1 root was performed. The root was severely compressed by the extrusion and there was no fat surrounding it. The extrusion was removed lateral to the axilla and meticulous cleaning of the disc space was performed from the right. Routine closure of the wound after fat transfer around the root.

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Smooth postoperative recovery and normalization of the power of both feet.

Comments:

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The disc space was narrow, which minimize the expected recurrence rate.

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The extrusion was not large, but it was causing direct compression at the root, which caused the agonizing pain.

 
     
 

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