TRUMPH TruSyatem 7500

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.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
e-neuroradiology.com
neuroradiology.ws

Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns-clinic.net
cnsclinic.org
munirelias.com
munir.ws

Spine Surgery Sites
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.co
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


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27-JULY-2004  ZAHRA JABER ABU-AZZAM  66 YEARS  SEVERE STENOSIS L4-5 WITH OLD EXTRUDED DISC L5-S1 WITH RIGHT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient came to the clinic 26-July-2004 complaining of LBP with bilateral sciatica more to the right with numbness of both feet and inability to walk more than 100 meters. The patient is hypertensive for 2 months without medication.

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MRI lumbar spine done 22-July-2004 showing severe stenosis L4-5 with I degree spondylolisthesis and extruded disc L5-S1 with foraminal occlusion.

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On examination: The patient is limping with exaggerated scoliotic stance. SLRS was 90 degrees in both sides. There is weak dorsiflexion both feet -4/5.

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Decompressive laminectomy L4 and L5 with foraminotomy both L5 and both S1 roots was done. The extruded disc of L5-S1 was inspected and not removed because it was hard, immobile. The right S1 root was decompressed of all surrounding elements. Check for instability was negative. The subcutaneous fat was harvested with pedicle and transferred to the dura to decrease the postoperative scar formation.

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Routine closure of the wound. Smooth postoperative recovery. The power of both feet became normal.

 

 

Comments

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The old degenerative extruded disc of L5-S1 was left untouched because there was no necessity to remove it.

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The spondylolisthesis of L4-5 is still difficult to estimate its role in the clinical setup. Time will tell.

 

Leica HM500

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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

 

 

 

[2004] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved