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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.

 

 
 
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8.  27-JANUARY-2007  REEM ATTALLAH JMEAAN  38 YEARS  EXTRUDED DISC L5-S1 WITH SEVERE COMPRESSION OF THE RIGHT S1 ROOT

 

 

Anamnesis

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The patient came to the clinic 22-January-2007 complaining of LBP with right sciatica for 3 years. Exacerbation of the sciatica the last 6 months.

MRI performed 11-November-2006 showed bulge L4-5 and extrusion of L5-S1 with right downward migration.

On examination: the patient had scoliotic stance, limping during walking with shooting right sciatica. SLRS was 50 degrees in the right and 55 degrees in the left. She had weak dorsi and planterflexion right foot 4/5.

Foraminotomy of the right S1 root was performed and partial flavotomy of L5-S1 was achieved. There is no epidural fat in this area.

Despite the fact, that the extrusion was not so big, but it was severely compressing the root. This extrusion was removed lateral to the axilla and minimal cleaning of the disc space was performed, because the disc space height was very narrow.

Smooth postoperative recovery and normalization of the power.

Comments:

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The extrusion was minimal, but the root compression was severe, which caused her agonizing pain and neurological deficit.

The disc space height is narrow and the defect in the annulus fibrosis was small. This make the estimated incidence of recurrence very low.

 

 
     
 

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