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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.

 

 
 
 
 

14.  20-NOVEMBER-2007  ZUHDY SALEH JBARAH  37 YEARS HUGE EXTRUDED DISC L4-5 LEFT SIDE.

 

 
 

Anamnesis

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The patient was admitted to Al-Shmasani hospital with history of LBP for one month and agonizing left sciatica for one week.

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MRI performed 19-November-2007 showing huge extruded disc L4-5 left side.

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On examination: the patient is irritable, cannot find suitable position, with drop left foot and weak dorsiflexion with hypalgesia left L5 and S1 roots territories.

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Left L4-5 hemiflavotomy with left L5 foraminotomy was performed and the extruded disc was removed in one piece lateral to the axilla. Meticulous cleaning of the disc space from the left.

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Routine closure of the wound and smooth postoperative recovery with normalization of the power of left foot.

Comments:

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The expected recurrence rate is around 7% because the disc height is still not noticeable and the annulus fibrosis defect is not small.

 
     
 

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