Munir Elias 20-12-2013

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
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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


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10-MARCH-2014  KHADRA SAEED MUHAMED  60 YEARS  SPONDYLOLISTHESIS L3-4 AND RETROLISTHESIS L4-5 WITH SEGMENTAL STENOSIS.

 

Anamnesis

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The patient came to the clinic 01-November-2011 complaining of LBP for 1 month with left sciatica for 4 months. On examination at that time she was not limping, with minimal scoliotic stance. SLRS was 90 degrees both sides without pain and there was weak dorsiflexion left foot 4/5. MRI lumbar spine done 23-November-2011 showed mild spondylolisthesis L3-4 with bulge L4-5 and L5-S1 with stenosis at L3-4. She was advised to keep in conservative treatment. The patient then came 22-February-2014 complaining of LBP for 2 days without sciatica. The patient is a known hypertensive under treatment for 5 years.

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On examination; the patient is in pain, limping, with exaggerated scoliotic stance. SLRS was 80 degrees both sides with pain. There is weak dorsiflexion right foot 4/5 and left foot 3/5.

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MRI of the lumbar spine done 22-February-2014 showing spondylolisthesis L3-4 and retrolisthesis L4-5 with severe segmental stenosis.

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Using C-arm, the L4-5 level identified. Decompressive laminectomy L3, L4 and upper third of L5. Foraminotomy left L4 and L5 roots. Inspection of the disci. They were glistening normal. The left isthmus of L3-4 was completely destroyed with a lot of hypertrophic bone fragments compressing the root and they were flail. All these elements were removed.  Using Isobar TTL Module in system, 6 monoaxial screws 6.2x45 were used to obtain transpedicular fixation of L3,L4 and L5. The rods were bended to adopt the natural curve of the area. Around 12 mm distraction was applied from the left side to correct the scoliotic changes. Cross connector was not applied, because the supporting company did not provide this item. The bone graft was added lateral to the rods and routine closure of the wound. All stages of surgery were performed with C-arm guide.

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Smooth postoperative recovery. The power of the left foot became normal.

 

 

Comments  

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The patient  has a progressive course of instability of different nature. All must be corrected.

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We usually include connector to the construct, but the providing company did not provide it. This is not critical, but it was more preferable to have it.

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It was not necessary to violate the disc spaces, since the annulus fibrosis of both disci were intact.

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

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.


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

 

 

 

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