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.tv

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Neurosurgical Encyclopedia
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paraplegia.today

Stem Cell Therapy Site
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Multigen RF lesion generator .

23-JUNE-2012 HUSNIEYH HUSSEIN ABDEL-QADER  65 YEARS  SEVERE LUMBAR CANAL STENOSIS WITH SPONDYLOLISTHESIS L4-5.

 

Anamnesis

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The patient came to the clinic 02-May-2012 complaining of numbness both lower limbs up to the umbilicus for three months with difficult walking. She can walk only 5-10 meters.

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On examination, the patient is limping with exaggerated scoliotic stance with SLRS 75 degree with pain both sides. The AJ is absent both sides with hypalgesia 5 cm above the inguinal region. There is weak quadriceps muscles both lower limbs 4/5 and almost drop both feet 3/5 and weak planterflexion both feet -4/5.

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New MRI was requested and done 06-May-2012 showing old wedge fracture D12 with calcification with L1. There is stenosis L3-4 and L4-5 with spondylolisthesis L4-5.

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Decompressive laminectomy L2,3,4 and partial of L5. Foraminotomy both L5 roots. Discectomy of L4-5 with insertion of TLIF cage Novel TL large size, 10x10x25 mm dimensions. with artificial bone. Using IsoBar 4 transpedicular screws polyaxial 6.5x45 mm to the L5 body and monoaxial 6.5x45 mm to the L4 body, fusion of L4-5 with slight compression was done with cross connector.

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Routine closure of the wound. Smooth postoperative recovery with improvement of the power of both lower limbs..

 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The patient had several problems which need surgical correction.

 


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 .

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