Dr. Ali Al-Bayyati and Dr. Munir Elias

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

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
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

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 .

17-MAY-2012  RASMIYE IBRAHEEM ABU-SHARQIYE  65 YEARS  LUMBAR CANAL STENOSIS L3-4 WITH BULGE DISC L3-4.

 

Anamnesis

bullet

The patient  came to the clinic 07-April-2012 complaining of LBP with bilateral sciatica down to the knees for 1 month with inability to walk. The patient underwent surgery to the spine for lumbar canal stenosis L3-4, but the LSS-X-ray showing transpedicular fixation of L4-5 and S1. The patient had CVA in November-2011. The patient is a known hypertensive for 5 years in treatment.

bullet

On examination, the patient is unable to stand for Romberg and scoliotic evaluation. There is weak grip left hand 3/5 and extension left hand and left biceps and triceps 4/5. SLRS was 50 degrees with tightness right side and with pain left side. There is weak dorsiflexion both feet +3/5 with analgesia right L5 root territory. The patient was sent for investigations and MRI lumbar spine performed 14-May-2012 showing severe lumbar canal stenosis L3-4 with the pedicle screws in the L4,5 and S1 bodies. There is also bulge L3-4.

bullet

Decompressive laminectomy L2,3 and L4 down until the scar covering the dura was noted. The epidural fat was missing all over the exposed area. Foraminotomy of L4,L5 both sides. All the compressing elements were eliminated. Check image-intensifier was applied to be sure that no missing compression was escaped.

bullet

Routine closure of the wound. Smooth postoperative recovery and the power of both legs normalized.

 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

bullet

The patient has lumbar canal stenosis of L3-4 for which she must be operated in the first time, but due to scanty data, the transpedicular screws were inserted to L4,5 and S1 bodies.

bullet

The L4 lamina was left in place in the previous surgery. Laminectomy of this part was included.

 

 


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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


View Larger Map
 

© [2012] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved