TRUMPH TruSyatem 7500

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.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


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KHETAM SULAYMAN MARAR  50 YEARS SECOND RECURRENCE OF L5-S1 LEFT SIDE WITH TOTAL COLLAPSE OF DISC SPACE.

 

Anamnesis

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The patient came to the clinic 13-October-2012 complaining of LBP for three years, bilateral sciatica and numbness of both feet more the right for one month. Cannot walk more than 100 meters due to pain with positive cough sign. The patient is hypertensive for 15 years and cath done 2010 which was normal. The patient had RTA 6 years ago.

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MRI lumbar spine done 18-September-2009 showing spondylolisthesis L4-5 with secondary stenosis and bulge L5-S1.

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On examination: the patient is limping with exaggerated scoliotic stance. SLRS was 75 degrees both sides with pain in the right. There is weak dorsiflexion both feet -4/5 and the right foot planterflexion 4/5. There is hypalgesia right L5 and S1 roots.

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New MRI lumbar spine requested and done 04-November-2012 showing II degree spondylolisthesis L4-5 with complete stenosis at this segment with bulge L5-S1.

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Decompressive laminectomy L4 and partial of L5. Foraminotomy both L5 roots. Right L4-5 discectomy with insertion of TLIF cage Novel TL 9x24x15 mm with bone graft. Using Isobar pedicular screw system- Scientex 6.2x40 mm ployaxial screws were inserted to the L5 pedicles and 6.2x40 mm monoaxial to the L4 pedicles. 2 rods 5.5x65 mm and cross connector were used with slight compression to fuse the L4-5 level. Bone graft Lifeline was used parallel to the rods.

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Routine closure of the wound. Smooth postoperative recovery. The power of the feet became normal and the right sciatica disappeared.

 

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 has severe lumbar canal stenosis due to spondylolisthesis L4-5 with progressive course. Surgical correction both problems is the only solution.

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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

 

 

 

[2003] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved