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 .

08-NOVEMBER-2017  RAED MUSLEH AL-RASH  29 YEARS  FRACTURED TRANSPEDICULAR FIXATING DEVICE AT L2,3,4 WITH LBP.

 
 

Anamnesis

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The patient came to the clinic 05-November-2017 complaining of LBP after feeling crack in the spine yesterday. The patient underwent unnecessary fixation of L2-3-4 in November-2016 for wedging of L3. The patient was consulted by me at that time, before surgery and he was advised to keep in conservative treatment.

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On examination; the patient is limping with exaggerated scoliotic stance. SLRS was 30 degrees in the left with pain. There is weak dorsiflexion left foot 4/5 with absent AJ in the left.

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The patient was sent for investigation. MRI lumbar spine showed bulge L4-5 with mild wedging of L3. Dynamic studies showed fracture of the left L4 screw with rod slightly extruded upward and the nut of the right screw slipped up. The transpedicular screws at L2 are pushed upward both sides.

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Exposure of the construct and the screws and the rods were removed. The tip of the screw in the left side of L4 body was left in place. Routine closure of the wound.

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Smooth postoperative recovery. The power of left foot became normal. He was sent to the ward.

Comments  

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The patient underwent unnecessary fixation of the spine. Such devices have their complications and this case is a demonstration.

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The dorsiflexion weakness of the left foot was due to pain before surgery.

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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