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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.  19-JULY-2007  HUSNI HAMED AHMAD ABDEL-HADI  67 YEARS  SPONDYLOLISTHESIS C4-5 AND C7-D1 WITH SEGMENTAL STENOSIS AT C4-5 LEVEL AND INVERTED CURVATURE OF THIS SEGMENT.

 

 
 

Anamnesis

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The patient is a known diabetic, came to the clinic 13-June-2007, complaining of neck and left ulnar distribution pain. The last 2 months got right shoulder pain with numb right hand. 

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MRI of the cervical spine performed 06-May-2007 showing spondylolisthesis C4-5  and C7-D1 with inverted curvature of the cervical alignment and compression at C4-5.

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On examination: all the muscles of both upper limbs are weak 4/5 except the left triceps muscle. The right biceps is more weak than other muscles and the patient is unable to hold his upper limbs above the shoulder level. There is weak dorsiflexion both feet.

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Discectomy of C4-5 and drilling the osteophytes at C5-6 and C6-7 with discectomy of C7-D1  was performed.

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Using 4 level cervical miniplate fusion of C4 down to D1 was performed. It was noticeable, that the C5 body was shifted down and it was brought anteriorly with the screws. So that the C6 body to resolve the inversion of the curvature of the cervical spine and turn it to acceptable alignment.

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Routine closure of the wound and smooth postoperative recovery.

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The patient regained power of the muscles of the upper limbs immediately after surgery.

Comments:

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The patient had not convincing compression of the spinal cord in the MRI studies. The instability was most of his problem, for what reduction and fixation was needed to prevent dynamic compression and prevent repetitive trauma to the spinal cord.

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The motor fibers recover immediately after the operation.

 
     
 

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