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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.

 

 
 
 
 

11.  23-AUGUST-2007  JEHAD MUHAMED AL-KHALAFAT  40 YEARS  HUGE PLD L5-S1 WITH RIGHT DOWNWARD MIGRATION.

 

 
 

Anamnesis

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The patient came to the clinic 16-December-2006 complaining of LBP for 1 month with right sciatica and he was claiming, that he was improving.

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On examination SLRS was 80 degrees both sides with no neurologic deficit.

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MRI lumbar spine was performed at that time and showed small extrusion L5-S1 right side with bulge disc L4-5. The patient was recommended to undergo conservative treatment.

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The patient came with agonizing pain for several days and was hospitalized and repeat MRI performed 22-August-2007 showed massive extrusion L5-S1 and the patient was urging for surgery.

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L5-S1 right 2/3 hemiflavotomy was performed and the huge extrusion was seen from under the axilla of the right S1 root pushing the root lateral. It was removed in several pieces and meticulous cleaning of L5-S1 was performed from the right.

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The epidural fat was preserved during surgery to prevent postoperative fibrosis.

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Routine closure and smooth postoperative recovery and normalization of the power of the right foot.

Comments:

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The patient had a previous disc, which was not convincing for surgery. When the extrusion came more pronounced, the clinical picture of the patient dramatically deteriorated and surgery was the only solution for his condition.

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Suction sometimes remove the epidural fat during surgery. This must be avoided to preserve the fat tissue to prevent subsequent postoperative fibrosis.

 
     
 

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