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
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 .

26-APRIL-2014  KHERIYE AHMAD QALABATA  72 YEARS  SPONDYLOLISTHESIS L4-5 , L3-4 WITH STENOSIS L2-3.

 

Anamnesis

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The patient was operated by me 17-Novemebr-2007 for LCS L2-3, L3-4 and L4-5. Then she came to the clinic 18-March-2014 complaining of LBP for 2 months with right sciatica. She is receiving L-thyroxin 50 microgram daily for the last 7 months and under treatment for gout.

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On examination; the patient is limping with exaggerated scoliotic stance. SLRS was 40 degrees right side with pain and 50 degrees in the left. There is weak dorsiflexion both feet -4/5. MRI of the lumbar spine repeated the same day showing spondylolisthesis L3-4 and L4-5 with old extruded disc L2-3.

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Using the C-arm, the L4-5 level identified. Exposure of the old wound and the lateral masses of L2-3, L3-4 and L4-5 were exposed and the transverse processii also. Drilling of the medial parts of the right L3-4 and L4-5 lateral masses. Inspection of the L4-5 disc space. It was very shallow, that insertion of TLIF cage was meaningless. Using Vitatech system, 4 monoaxial 6.5x45 mm screws were inserted to the L3 and L4 levels. 2 polyaxial 6.5x45 mm screws were inserted to the L5 level. 2 rods were bended to accept the normal curve of the area. Slight distraction of L4-5 level. Cross connector was applied. 5 cc bone graft granules were added lateral to the rods. All stages of surgery were done with C-arm control.

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Smooth postoperative recovery. The power of the both feet became normal.

 

 

Comments  

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The patient has unstable back at 2 levels which needs fixation. All the compressive elements were eliminated from the right side.

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.

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

 

 

 

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