Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity.

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
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neuroendocrinologiacl Site
humanneuroendocrinology.com

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
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

NADYA HASHEM SALHAB  50 YEARS  SPONDYLOLISTHESIS l4-5 AND L3-4.

 
 

Anamnesis

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The patient came to the clinic 26-July-2017 complaining of LBP for 3 years with right sciatica for 10 days down to gastrocnemius not reaching below the ankle. The patient is a known hypertensive for 3 years under treatment.

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On examination, the patient is limping with exaggerated scoliotic stance. SLRS was 30 degrees with pain in the right and 70 degrees in the left. There is weak dorsiflexion right foot -4/5.

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The patient was sent for investigations and MRI lumbar spine performed the same day, showing spondylolisthesis L4-5 and bulge L3-4. Dynamic studies confirmed the presence of II grade spondylolisthesis L3-4 and L4-5. lab investigations showed Hb 11.4 mg/L WBC 11.5 and ESR was 60 mm/h. The patient was given antibiotics to minimize postoperative infection and she has allergy to Dalacine. Cardio consultation reporting low risk for G.A.

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Skeletonization of L3,4,5 until the lateral proccessi were under vision. Transpedicular reduction and fixation of L3,4,5 was achieved using OSImplant system with 2 polyaxial 5.5x45 mm to L5 and 4 monoaxial same sizes to L4 and L3 levels. During bony dissection, it was noticed that the right lateral mass of L4-5 suffered fracture for what, she was complaining of right sciatica. Since there was no stenosis nor proper extrusion it was decided not to violate the neural structures. Routine closure of the wound.

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Smooth postoperative recovery. The power of the right foot normalized and she was sciatica free. She was sent to the ward.

Comments  

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The patient has spondylolisthesis at 2 levels. Fusion must include both levels.

 

 

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 Head mounted 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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