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
09-FEBRUARY-2015 ABDALLA MUHYIDEEN KUSAYEH 48 YEARS
HUGE EXTRUDED DISC C3-4 WITH RIGHT RIGHT FORAMINAL
OCCLUSION AND MALACIA OF THE SPINAL CORD.
The patient came to the clinic 04-February-2015
complaining of neck pain for 2 years with
exacerbation last 2 months with right upper limb
pain with numbness all fingers right hand and
pain both shoulders. MRI cervical spine done
26-January-2015 bad quality, but showing huge
extruded disc C3-4 with right foraminal
occlusion and malacia of the spinal cord. The
patient underwent stenting 2003 with cover
of baby aspirin, concor 5 mg once a day and
Lipitor 10 mg daily.
On examination, the patient is in agonizing pain
when turning the head to the right and bending
the head to the right shoulder. There is weak
grip and extension right hand and the right
biceps 4/5. The right triceps muscle 3/5. There
is hypalgesia ulnar distribution right hand and
the right L5 territory. There is weak
dorsiflexion right foot and right
quadriceps muscle right leg 4/5. Hoffmann's sign
positive both sides.
Using the C-arm, the level of C3-4 was
identified. Discectomy of C3-4 was performed
until the dura was seen entirely more to the
right. 0.3 ml Omnipaque was inserted before the
trail of 5 was pushed to the C3-4 space. It was
evident that the patient has spondylolisthesis
C3-4. Using cage 5 mm height and Atlantis
Medtronic plate 27x5 mm with 3 screws 4x15 mm
and 4.5x15 mm to the left lower corner, fusion
of C3-4 was achieved. All stages of surgery were
guided with C-arm. Routine closure of the wound.
Smooth postoperative recovery.
The power of the right upper limb became normal
immediately after surgery.
The spondylolisthesis was diagnosed only
after insertion of the Omnipaque. From this fact we shall
use this step as routine for the future surgeries.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
Inomed MER system
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 .