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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
25-JANUARY-2015 DEEB MAHMOUD BANI-ODEH 67 YEARS SEVERE
STENOSIS L3-4 WITH SPONDYLOLISTHESIS.
The patient came to the clinic 24-January-2015
complaining of LBP for 3 years with right
sciatica. Exacerbation of bilateral sciatica the
last year more the left side. He can walk more
than 1 Km but with pain. MRI lumbar spine done
23-April-2011 showing extruded disc L3-4 with
huge right downward migration. LSS X-ray dynamic
done 22-November-2014 showing vacuum phenomenon
at the shallow L3-4 with spondylolisthesis L3-4
I degree. MRI lumbar spine done 24-November-2014
showing severe stenosis L3-4 with bulge all
disci in the lumbar spine. Neck and left upper
limb pain for 3 months.
On examination, the patient is in agonizing pain, limping with exaggerated scoliotic
stance. There is pain when turning the head to
the sides and downward. There is weak grip and
extension left hand and the left triceps muscle
4/5. SLRS was 80 degrees with pain in the
right. There is weak dorsi and planterflexion
Using C-arm the level of L3-4 was identified.
Skeletonization of L3 L4 lateral to reach the
transverse processii of L3 and L4. Using
Medtronic Legacy system, 2 M.A. screws inserted
to L3 6.5x45 mm and 2 F.A. screws to L4
6.5x45 mm. Laminectomy of L3 and upper third of
L4 was performed with foraminotomy both L4
roots. The disc level was inspected from both
sides. Cross connector was applied between the
inserted rods 40x5.5 mm. The harvested bone was
melted and applied lateral to the rods.
Routine closure of the wound.
Smooth postoperative recovery. The power of the
left foot became normal.
The patient has several bulges above and
below. It is reasonable to include one nearby bulge to avoid
future escalation, but including all the levels with fusion
to prevent this added stress is not practical and
meaningless. For that only the L3-4 was fused.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
Inomed MER system
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 .