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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.

 

 
 
 
 

9.  28-JANUARY-2007  SAEED UTHMAN AL-MASHARQAH  33 YEARS  HUGE EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.

 

 

Anamnesis

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The patient came to the clinic 13-January-2007 complaining of LBP with left sciatica for 1 month with numbness of the IV and V toes left foot.

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On examination: the patient had scoliotic stance, limping during walking with shooting left sciatica. SLRS was 80 degrees in both sides. He had weak dorsi and planterflexion left foot 4/5  with hypalgesia left S1 territory.

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MRI performed 15-January-2007 showed a huge extrusion of L5-S1 disc with left downward migration with reaction of the lower endplate.

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Foraminotomy of the left S1 root was performed and partial flavotomy of L5-S1 was achieved.

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The extrusion was so big, part of it was removed from under the axilla and part was removed lateral to the axilla to avoid injury to the running root. Meticulous cleaning of the disc space was performed.

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Smooth postoperative recovery and normalization of the power. 

Comments:

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The extrusion was massive and the disc space was narrow and meticulous cleaning of the disc space was achieved. The expected recurrence in this case is lower than 7%.

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The reactionary changes of the endplate could hide some sort of inflammatory process. Time will show the importance of this finding.

 

 
     
 

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