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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.

 

 
 
 
 

17.  30-AUGUST-2007  FARID AZZAM FARID 25 YEARS  HUGE EXTRUDED DISC L5-S1 LEFT SIDE.

 

 
 

Anamnesis

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The patient came to the clinic 13-August-2007 complaining of LBP  for 3 months with left sciatica.

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 MRI performed 20-May-2007, showing huge extruded disc L5-S1 left side.

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On examination at that time he had scoliotic stance with left sciatica  with SLRS was 45 degrees in the left with pain with weak dorsiflexion all toes left foot. He was planning for wedding tomorrow and he was given medications to make him able to go through his marriage in acceptable position and to perform MRI after the wedding.

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The patient came 27-August-2007 with new MRI showing the same huge extrusion.

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On examination: the patient had the same scoliotic stance with left sciatica  and weak dorsiflexion all toes left foot..

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Left  1/3 L4-5 flavotomy with foraminotomy of left S1 root was performed. The extruded disc was removed lateral to the axilla. Meticulous cleaning of the disc space from the left side was achieved.

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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 is an obese with the fat layer more than 15 cm. The incision was 5 cm long. Special adapted instrumentation is required for such surgery.

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The expected recurrence rate in this case is in the usual average, because he is obese, and the disc space height is not shallow. These factors increase the expected recurrence rate.

 
     
 

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