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
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
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

11-NOVEMBER-2014  NAHAR AHMAD AL-LOBANI  67 YEARS  SPONDYLOLISTHESIS L4-5 WITH SEVERE SEGMENTAL STENOSIS.

 

Anamnesis

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The patient came to the clinic 03-November-2014 complaining of difficult walking for 2 years with LBP for 30 years. MRI lumbar spine done 19-July-20111 showing lumbar canal stenosis L4-5. The patient is a known diabetic for 5 years. Arterial hypertension for 7 years  and stinting of the coronaries 2012.

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On examination, the patient is limping with exaggerated scoliotic stance with shooting left sciatica. SLRS was 90 degrees both sides with pain in the left. There is weak dorsiflexion left foot -3/5 and right 3/5. Planterflexion left foot 3/5 and right 4/5. There is weak both quadriceps muscles 4/5. 

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The patient was sent for MRI dorsal and lumbar spine which were done 04-November-2014 showing small disci at the dorsal spine of no clinical significance and spondylolisthesis L4-5 with severe segmental stenosis. Dynamic studies confirmed the presence of the spondylolisthesis of L4-5.

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Skeletonization of L4,5 and upper sacrum to partially expose the lateral processii of L4 and L5. Using Medtronic legacy polyaxial screws 6.5x45 mm  with bended 5.5 mm bended 2 rods 50 mm length, transpedicular fixation was done at L4-5 level. Laminectomy 3/4 of L4 and upper fourth of L5 was done with foraminotomy of both L5 roots. During surgery C-arm was used and ISIS transpedicular set was applied. The screws were not responding even to 15 mA DNS and the root were responding to 2 mA DNS. Cross connector 22 mm was used to provide more stability of the construct and his own bone was melted and applied lateral to the rods. Routine closure of the wound.

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

 

 

Comments  

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The patient still has a progressive disease, the earlier the surgical correction the better the outcome.

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


Inomed MER system



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

 

 

 

[2014] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved