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 .

25-JUNE-2015  QAYS AYMAN YOUSEF  16 YEARS  BURST FRACTURE OF L1 WITH BONY COMPRESSION.

 

Anamnesis

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The patient from another hospital after suffering RTA 22-June-2015 without loss of consciousness with mid back pain. MRI lumbar spine done 23-June-2015 showing burst fracture of L1 with bony fragment inside the spinal canal.

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On examination; the patient is in bed with pain in the mid back. Neurologically he was free. There is pain when palpating the injured part of the spine with localized edema of the area.

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Skeletonization D12 down to L3 with preservation of the intraspinous ligaments. 4 polyaxial 6.5x40 legacy screws inserted to D12 and L2.  2 straight rods 10 cm inserted and by trying to distract the left side, the lower screw shifted down, The rods removed and another 6.5x50 mm monoaxial screws inserted to L3 and to the left pedicle of L1 5.5x50 mm. 2 rods 15 cm length bended inferior to conform the anatomical alignment were inserted. Step-wise reduction with distraction was applied in several points to achieve acceptable reduction of the slipped bone fragment. Cross connector was applied at the center of the rods. All stages of surgery were guided using the C-arm. Routine closure of the wound.

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Smooth postoperative recovery.

 

 

Comments  

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The patient has unstable fracture with bony compression which could harm the spinal cord after ambulation. Surgical fixation and reduction is the only way to avoid such possible complication.

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Polyaxial screws cannot stand stress distraction and in this case it is recommended to use the rigid monoaxial brand.

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

 

ISIS 32 channel Inomed IOM system for intraoperative neurophysiologic navigation running since 2007.

 

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