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
neuroradiology.ws

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns.clinic
cns-clinic.net
cnsclinic.org
munirelias.com

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
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 .

13-MAY-2015  FATMEH AHMAD JAWASH  55 YEARS  SPONDYLOLISTHESIS L4-5 WITH RIGHT EXTRAFORAMINAL EXTRUSION.

 

Anamnesis

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The patient came to the clinic 06-October-2013 complaining of LBP with left sciatica for 3 years with exacerbation the last month with inability to walk more than 100 meters. She was limping with SLRS left side 30 degrees with pain and hypalgesia left anterior thigh and weak dorsiflexion left foot -4/5. She was also complaining of neck pain. MRI cervical spine done showing small extruded disc C6-7 and the lumbar MRI showed spondylolisthesis L4-5. Dynamic studies confirmed the instability at L4-5. The patient then came 10-May-2015 complaining of agonizing right sciatica for 2 months.

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On examination; the patient is limping with exaggerated scoliotic stance. Neck and upper limbs were neurologically free. SLRS was 80 degrees both sides. There is weak dorsiflexion both feet -3/5.

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The patient was sent for investigations and MRI lumbar spine performed 10-May-2015 showing spondylolisthesis L4-5 with right extraforaminal extrusion L4-5. There are bulging disci all over.

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Using the C-arm, the L4-5 level was identified. Using Legacy CDH MAS screws 6.5x45 mm 4 screws inserted to L4 and L5 levels. The extruded far lateral disc of L4-5 was removed and right sided intradiscal cleaning was achieved. The patient had bleeding tendency, for what Vit K 10 units was injected. 50 mm bended rods were used and cross connector 22 were applied to obtain fusion and distraction about 5 mm both sides. All stages of surgery were done with C-arm control. The harvested bone was milt and applied to the rods. Routine closure.

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Smooth postoperative recovery.

 

 

Comments  

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The patient was tolerating the spondylolisthesis, but when the extrusion took place, she urged for surgery. Both problems were corrected accordingly.

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


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

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.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

 


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

 

 

 

[2015] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved