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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.

 

 
 
 
 

16.  28-AUGUST-2007  GHAZI HUSSEIN SALEM  44 YEARS  HUGE CENTRAL EXTRUDED DISC L4-5 MORE TO THE RIGHT.

 

 
 

Anamnesis

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The patient came to the clinic 15-October-2000 complaining of LBP  for 20 years with left sciatica.

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The patient sent for MRI lumbar spine and came back 04-October-2001  with MRI performed 12-March-2001, showing huge extruded disc L4-5

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On examination at that time he had scoliotic stance with bilateral sciatica  with SLRS was 75 degrees in the right side  and 85 degrees in the left with pain with weak dorsiflexion all toes right. He was advised for surgery, but disappeared.

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The patient came 26-August-2007 after trying all available charlatans maneuvers, urging for surgery.

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MRI performed 12-August-2007 showing huge central extruded disc L4-5 more to the right.

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On examination: the patient had the same scoliotic stance with bilateral sciatica more the right with SLRS 45 degrees both sides  and weak dorsiflexion all toes both feet.

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Right  2/3 L4-5 flavotomy with foraminotomy of right L5 root was performed. The extruded disc was pushing the right L5 root laterally, for what it was attacked and removed from under the axilla. Meticulous cleaning of the extrusion and the disc space from the right side.

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Routine closure and smooth postoperative recovery and normalization of the power of both feet.

Comments:

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The patient tried all charlatans methods without effect. He performed the 2 parallel incisions at the dorsum of the right foot and all imaginable procedures without effect.

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The expected recurrence rate in this case is low, because the disc space height is minimal. This factor considerably decrease the expected recurrence rate.

 
     
 

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