Munir Elias 20-12-2013

Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.fr

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Neurosurgical Encyclopedia
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Neurooncological Sites
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Neuroanatomical Sites
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Neuroendocrinologiacl Site
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Neuro ICU Site
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Neurophysiological Sites
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Neuroradiological Sites
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Neurovascular Sites
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Personal Sites
cns-clinic.net
cnsclinic.org
munirelias.com
munir.ws

Spine Surgery Sites
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.co
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


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RF lesion generator and stimulator for
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Multigen RF lesion generator .

14-MARCH-2014  ABDEL-QADER MUHAMED AL-HINDAWY  18 YEARS  BURST SPLIT FRACTURE D12 WITH BONY COMPRESSION.

 

Anamnesis

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The patient was admitted to Shmaisani hospital 13-March-2014 with history of falling down 2 weeks ago with LBP during work. He got feeling of heaviness both lower limbs.

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On examination; the patient is walking with difficulty. SLRS was 35 degrees right side and 40 degrees left side with pain. Exaggerated deep reflexes with Babinski positive both sides. There is weak dorsiflexion both feet -4/5. The quadriceps and below muscles all are weak in both lower limbs.

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MRI of the lumbar spine done -2014 showing burst fracture D12. CT-scan of the area done 13-March-2014 showing split burst fracture D12 with bony compression.

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Using C-arm, the fractured D12 was identified and skeletonization of D11, D12 and L1 was done with preservation of the interspinous ligament. 2 monoaxial Vitatech 6.5x40 mm screws inserted to D11 and 2 monoaxial screws 6.5x50 mm to L1. 2 rods 100 mm x5.5 mm without bending were used and fixation after distraction reduction was applied. Cross connector was applied and all stages of surgery were performed with C-arm control. The reduction was acceptable. Routine closure of the wound.

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Smooth postoperative recovery. The power of the lower limbs became better.

 

 

Comments  

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The patient  has unstable fracture with clinical manifestations. Deduction with fixation is the best solution.

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.


Back Up!

Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .

  

 

 

 

 

 

 

 

 

 

 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 

 

 

[2014] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved