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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
04-APRIL-2008 ASMAA HUSSEIN AL-LOH 30
YEARS POSTTRAUMATIC FRACTURE DISLOCATION C3-4 WITH RIGHT
LOCKED FACET AND MALACIA OF THE SPINAL CORD AT LOWER LEVELS.
The patient came to
Al-Shmaisani hospital after suffering RTA
22-March-2008 with loss of consciousness for
several hours. She was complaining of right
upper limb pain and both shoulders pain and
there was fracture of the forearm, for what an
above elbow cast was applied to the right upper
MRI of the cervical spine and
brain CT-scan was performed, which confirmed the
presence of dislocation of C3-4 and locked right
C3-4 facet and malacia of the spinal cord below
this level in the cervical spinal cord. X-ray of
the cervical spine in flexion and extension
showed that there also instability at this area.
On examination: the patient
had weak right deltoid and biceps brachii
muscle. There was also weak planterflexion of
the right foot and dorsiflexion both feet and
weak right quadriceps without LBP.
Using image-intensifier, the
level was identified and discectomy of C3-4 was
performed with traction applied using Hallo
traction device with 5 KG weight. The traction
was increase to 8 KG and it was possible to see
that the entire posterior longitudinal ligament
was torn completely. The dura was intact and no
CSF leak could be noted. Using Hybrid one level
miniplate with four 14 mm length screws, fusion
of C3-4 was performed with the aid of
Routine closure of the wound
with smooth postoperative recovery.
Immediate improvement of the
power of the affected limbs.
The malacia of the spinal
cord at lower levels was due to massive
dislocation during accident.
The improvement of the power
of the four limbs could be to the still
persisting dislocation of C3-4, which was
corrected with subsequent improvement.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet