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

The patient  suffered RTA 2 days ago and came to hospital transferred from elsewhere. She had complete disruption of the vertebral column at L1 with the D12 hanging anterior to it. Paraplegia below the lesion was complete with Folly's and inability to move both lower limbs. Considering that all the anatomical elements were destroyed, it was decided to reduce and fix the spine using transpedicular screws inserted between D11 and L3 with bridge. No attempt was done to explore the already seen roots coming out to the field and the cut spinal cord. This was decided, because further manipulations will add trauma to the already traumatized cord and increase the incidence of postoperative CSF leak.