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
neuroradiology.ws

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns.clinic
cns-clinic.net
cnsclinic.org
munirelias.com

Spine Surgery Sites
spine.surgery
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


Inomed Stockert Neuro N50. A versatile
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countless applications and many uses


Multigen RF lesion generator .

20-MAY-2015  MHIL MTAYYER AL-ENEZI  71 YEARS  RTA 27 -MARCH-2015 WITH BUST FRACTURE OF TH11 AND OPERATED LEFT SUBTROCHANTERIC FRACTURE.

 

Anamnesis

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The patient to the emergency of Shmaisani hospital transferred from Saudia with clinical history of RTA 27-March-2015 with burst fracture of the Th11 and left subtrochanteric fracture. The patient was operated for the pelvic fracture 1 week after the accident. He had fracture right clavicle and the 6 rib right with pneumothorax, for what UWS was applied at the start of the accident.

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On examination; the patient is in bed with drop left foot and week left lower limb with analgesia of the left L5 root territory. He has difficulty in urination, for what Foley's catheter was applied.

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The patient was sent for investigations and the CXR showed the old fractures and the pelvis showed acceptable alignment of the left femoral head and shaft. The burst fracture was compressing the spinal cord from the left.

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Using the C-arm, skeletonization of D10, 11,12 and L1 was achieved. Transpedicular screws Legacy 5.5x40 mm  inserted to D10 and D12. Distraction about 12 mm could reduce the bony part touching the dura of the spinal cord. Another transpedicular screws LEGACY MA 5.5x45 mm inserted to L1. 2 rods bended slightly to adopt the natural curve of the area 130 mm were used and fixation of D10-12 and L1 was achieved after applying the maximal distraction both sides. The C-arm showed acceptable alignment, that there was no need to perform laminectomy or to explore the dura around the previously compressed area. Cross connector 22 applied. Routine closure of the wound.

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Smooth postoperative recovery. The power of the left leg became slightly better than before the surgery.

 

 

Comments  

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The patient has unacceptable fracture of the 11 dorsal body. fixation with decompression was indicated even after 45 days of delay. The patient was prepared for all scenarios, but distraction of D10-12 achieved remote the desired result, for what fixation with distraction were limited in this procedure.

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


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

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

 

 

 

[2015] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved