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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.

 

 
 
 
 

7.  24-MAY-2007  ABDALLAH MUHAMED FARAJ  35 YEARS  VERY HUGE CENTRAL PLD L4-5

 
 

 
 

Anamnesis

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The patient came to the clinic 21-May-2007 complaining of LBP for 2 years  with right sciatica with intermittent course. The last 2 months he got agonizing right side sciatica.

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MRI of the lumbar spine performed 06-May-2007 showing very huge central extrusion L4-5 with small disc L5-S1.

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On examination: SLRS was 30 degrees in the right and 60 degrees in the left. Weak dorsiflexion both feet and planterflexion right foot. He had scoliotic stance and limping when walking.

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Bilateral L4-5 flavotomy with both L5 foraminotomy was performed. The piece was so big and tough in consistency, that it was wise to fragment in pieces and to remove it from both sides step-wise.

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Bilateral intradiscal cleaning of L4-5 disc space which was narrow.

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Routine closure with smooth postoperative recovery.

Comments:

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Microscopic surgery by no means, mean key-hole surgery. To the advantage of the patient, all the involved neural structures must be brought under visual control, then microsurgery must be applied to preserve the neural structures.

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The expected recurrence for this case is minimal, since all of his disc material was extruded and the disc space was narrow.

 
     
 

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