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
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29-AUGUST-2009 QASEM ABDEL-KAREEM YOUSEF 62 YEARS
BURST FRACTURE L2 AND WEDGING OF L1 WITH INABILITY TO SET AND WALK AND
PARAPARESIS BOTH LOWER LIMBS.
Anamnesis:
The patient came to the
clinic 24-August-2009 complaining of inability
to set and walk after falling down from 150 cm
height 45 days ago. The patient was admitted to
the University hospital and sent home
undiagnosed.
MRI lumbar spine performed
22-August-2009 showing burst fracture of L2 and
wedging of L1.
The patient could walk with
the help of 2 persons and he could set with his
upper arms elevating the body. He had weak both
lower limbs 4/5 without sensory deficit.
Skeletonization of
D11-12-L1-2-3 and L4 was performed,
preserving during that the spinous processii and
interspinous ligaments. Using Medtronic
sublaminar hooks and rods distraction reduction
was achieved and fusion was performed between
D11-12 and L3 and L4.
Medtronic Bicalphos
granules 20 cc 1.6-3.2 mm was applied into both
sides after decortication of the bones mainly to
the D12 L2 levels.
Routine closure of the
wound and smooth
postoperative recovery
and the patient sent to
the ward.
Comments
The patient has burst
fracture of L2 with the patient unable to walk
or set down with agonizing pain. Fixation was
mandatory 2 levels above and 2 levels below the
affected lesion which was the fractured L1 and
L2.
This granules were inserted
in case that the construct suffer fatigue and
ossification will help in stabilizing the
fractured bones.
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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 .
