Dr. Fuad Al-Masri Syrian neurosurgeon.

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.tv

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
neurosurgery.art
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

Stem Cell Therapy Site
neurostemcell.com


Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .

17-FEBRUARY-2013  MUHAMED DIYAB MISLEH  48 YEARS  BURST FRACTURE OF L1.

 

Anamnesis

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The patient came 16-February-2013 complaining of LBP with weak right leg after falling down 6 hours ago in stretcher transferred from another hospital.

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On examination: SLRS was 20 degrees in both sides with pain. There is weak dorsiflexion and planterflexion right foot 4/5. The bladder if full and cannot void for what Foley's catheter was inserted.

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MRI lumbar spine done 16-February-2013 showing burst fracture of L1 with bony compression of the spinal cord.

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Skeletonization of D12, L1,2,3 with preservation of the interspinous ligaments. Using DePuy Spine J&J 5x40 mm polyaxial screws were inserted to D12, 5x45 mm to L2 and 6x45 to L3 bodies. All stages were done using C-arm. 2 rods 5.5 mm thickness and 90 mm length, bended to accept the natural curve of the area were used to fuse the D12, L2, L3 bodies. Applying distraction between L2 and D12, good reduction of the bony alignments of L1 was achieved. Cross connector was applied for more rigid fixation of the construct. Bone graft was not used intentionally to prevent future bony fusion of the posterior elements in case of possible removal of the construct.

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Routine closure of the wound. Smooth postoperative recovery. The power of right foot became better.

Pre and postoperative X-ray showing the reduction and fixation.

 

Comments

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The patient had unstable fracture of L1. Transpedicular fixation and reduction is the best option.

 

Leica HM500

Leica HM500
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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

 

 

 

 

 

 

 

 

 


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