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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.

 

 
 
 
 

06.  23-JULY-2007  AYMAN YOUSEF NADDAF  32 YEARS  HUGE PLD L4-5 WITH LEFT DOWNWARD MIGRATION.

 

 
 

Anamnesis

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The patient came to the clinic 21-July-2007 complaining of LBP for 3 years without sciatica. Tow months ago, got left sciatica with numbness of the left L5 and S1 territory.

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MRI performed 08-July-2007 in Qatar showed a huge extruded disc L4-5 with downward migration left side.

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On examination: the patient is limping and has scoliotic stance with SLRS right side 45 degrees with pain and diminished AJ left side. There is weak dorsi  3/5 and planterflexion 4/5 left foot.

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Flavotomy L4-5 with left L5 root foraminotomy was done. Most of the extrusion was removed from under the axilla.

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Meticulous cleaning of the disc space was performed from the left side. Inspection of the right side was negative. Routine closure of the wound.

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Smooth postoperative recovery.

Comments:

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The disc space was medium in height, which predict a medium rate of recurrence.

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As usual, the epidural fat was transferred to the root from the nearby structures, to prevent scar formation around the root area.

 
     
 

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