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.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 .

13-AUGUST-2014  SALIM MUHAMED AL-HAWARI  67 YEARS  SPONDYLOLISTHESIS L4-5 WITH SEVERE SEGMENTAL STENOSIS.

 

Anamnesis

bullet

The patient came to the Emergency of Shmaisani hospital 12-August-2014 complaining of LBP for 1 year  with right sciatica for 1 month.

bullet

On examination; the patient is in agonizing pain, limping with exaggerated scoliotic stance. SLRS was 30 degrees with pain in the right and 50 degrees in the left. There is weak dorsiflexion right foot 2/5 and planterflexion same foot 4/5. There is analgesia of the right leg below the knee.

bullet

The patient was sent for investigations and MRI lumbar spine done 12-August-2014 showing extruded disc L4-5 with spondylolisthesis L4-5 with severe segmental stenosis. Dynamic studies confirming this.

bullet

Bilateral L4-5 flavotomy and foraminotomy both L5 roots. The extruded disc was removed from both sides and bilateral intradiscal cleaning L4-5 disc space. Insertion of TL cage 11x25x4 with bone graft from the left side. Using XIA 3 system, transpedicular fixation was achieved between L4 and L5 bodies. 4 monoaxial 6.5x45 mm screws with Mac cross connector 42 mm were used with bended rods. All stages of surgery were guided with C-arm and the last AP view showed unacceptable right rod position, for what it was repositioned up 10 mm. Slight compression was applied. The milted bone graft was put lateral to the rods. Routine closure of the wound.

bullet

Smooth postoperative recovery with dramatic improvement of the power of right foot.

 

 

Comments  

bullet

The patient has extruded disc with spondylolisthesis and severe stenosis. All these data were corrected.

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


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
 

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