neurophysiology.ws
neurosurgery.fr
e-neuroradiology.com
onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
munir.ws

Dr. Ali Al-Bayyati and Dr. Munir Elias

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

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
cns-online.com
cns.surgery
cns.today
e-neurosurgery.com
neurosurgery.ag
neurosurgery.bz
neurosurgery.co
neurosurgery.cz
neurosurgery.fr
neurosurgery.gallery
neurosurgeryvideo.gallery
neurosurgicalvideo.gallery
neurosurgery.guru
neurosurgery.me
neurosurgery.mx
neurosurgery.photos
neurosurgery.tips
neurosurgery.tv
neurosurgery.tw
neurosurgeryspine.org

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.com
neurosurgicalencyclopedia.net
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
craniopharyngiomas.net
ependymomas.com
ependymomas.net
glioma.co
gliomas.info
glioma.ws
meningiomas.info
meningiomas.org
neurooncology.me
neurooncology.tv
neurooncology.ws
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com
pituitaryadenoma.net
schwannomas.com
theneuro-oncology.com

Neuroanatomical Sites
diencephalon.info
diencephalon.org
humanneuroanatomy.com
medullaoblongata.info
mesencephalon.org
microneuroanatomy.com

Neuroanesthesia Sites
neuroanesthesia.info

Neuroendocrinologiacl Site
humanneuroendocrinology.com

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com
neurophysiology.ws

Neuroradiological Sites
e-neuroradiology.com
neuroradiology.ws

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

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


Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

15-MARCH-2013  FARES LAFI AL-RWELY  20 YEARS UNSTABLE FRACTURE DISLOCATION C2,C3 WITH TOTAL DESTRUCTION OF LEFT LATERAL MASS.

 

Anamnesis

bullet

The patient came to the emergency of the Shmaisani hospital from Saudi Arabia 14-March-2013 after suffering RTA the night of 13-March-2013 without loss of consciousness but after that got severe neck pain and inability to move it with severe pain in the left shoulder with numbness of the left side of the neck. CT-scan of the brain and neck done the same day of bad quality and unreadable.

bullet

X-ray of the cervical spine showed dislocation of C2-3 with chip of bones in the left C2-3 lateral mass. X-ray of the left shoulder is normal. CT-scan of the neck repeated with thin cuts and 3-D reconstruction confirming the dislocation and complete destruction of the left L2-3 lateral mass. MRI cervical spine done 15-March-2013 showing slight malacia of the spinal cord at the fractured level, but the vertebral artery is in relatively acceptable condition.

bullet

On examination: The patient with hard neck collar with paresis of the left upper and lower limbs with analgesia of the left side of the neck. The patient claiming that he has severe fainting when raising his head.

bullet

Considering that there is no disc extrusion, using C-arm the C2-3 level was identified and using Zimmer cervical plate one level 24 mm length with 2 variable screws 14x4.2 mm inserted to C2. One variable screw 14x4.6 mm inserted to the right side of C3  and 16x4.2 mm to the left side of C3. All stages of surgery were done using C-arm control.

bullet

Routine closure of the wound. Smooth postoperative recovery. The power of the left side became normal.

 

 

Comments

bullet

The patient had unstable fracture of C2-3 with complete destruction of the left C2-3 lateral mass. To preserve the left vertebral artery and avoid further deterioration of the spinal cord, internal fixation is the only available best option.

 

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision.


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

 

 

 

[2013] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved