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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.

 

 
 
 
 

07.  24-JULY-2007  OEDEH RAMADAN SALEM OEDEH  36 YEARS MEDIUM SIZED EXTRUSION L5-S1 RIGHT SIDE.

 

 
 

Anamnesis

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The patient came to the clinic 13-December-2006 complaining of LBP for 2 months with right sciatica. 

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MRI performed 18-October-2006 showed a medium extruded disc L5-S1 with downward migration left side.

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On examination: the patient is limping and has scoliotic stance with SLRS right side 65 degrees with pain and absent AJ right side. There is weak dorsi  3/5 and planterflexion 4/5 right foot.

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The patient came another time 05-February-2007 with  new MRI showing a small extrusion L5-S1 touching the right S1 root. Conservative treatment was advised.

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The patient then came 01-May-2007 with deterioration of his condition  and was sent for another MRI.

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The patient came 11-July-2007 with new MRI  urging for surgery.

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Hemiflavotomy L5-S1 with right S1 root foraminotomy was done. Most of the extrusion was removed lateral to the axilla.

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

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Smooth postoperative recovery. The power of the right foot improved, but the patient still complaining of sciatica, but with lesser degree.

Comments:

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

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The patient has medium sized extrusion with agonizing pain and the patient had protracted period before surgery. All these parameters, indicate that the patient will have protracted long period of pain suffering after the operation.

 
     
 

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