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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
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Multigen RF lesion generator .
14-MARCH-2014 ABDEL-QADER MUHAMED AL-HINDAWY 18
YEARS BURST SPLIT FRACTURE D12 WITH BONY COMPRESSION.
Anamnesis
The patient was admitted to Shmaisani hospital
13-March-2014 with history of falling down 2
weeks ago with LBP during work. He got feeling
of heaviness both lower limbs.
On examination; the patient is walking with
difficulty. SLRS was 35 degrees right side and
40 degrees left side with pain. Exaggerated deep
reflexes with Babinski positive both sides. There is
weak dorsiflexion both feet -4/5. The quadriceps
and below muscles all are weak in both lower
limbs.
MRI of the lumbar spine done
-2014 showing burst fracture D12. CT-scan of the
area done 13-March-2014 showing split burst
fracture D12 with bony compression.
Using C-arm, the fractured D12 was identified
and skeletonization of D11, D12 and L1 was done
with preservation of the interspinous ligament.
2 monoaxial Vitatech 6.5x40 mm screws inserted
to D11 and 2 monoaxial screws 6.5x50 mm to L1. 2
rods 100 mm x5.5 mm without bending were used
and fixation after distraction reduction was
applied. Cross connector was applied and all
stages of surgery were performed with C-arm
control. The reduction was acceptable. Routine
closure of the wound.
Smooth postoperative
recovery. The power of the lower limbs became
better.
Comments
The patient has unstable fracture with
clinical manifestations. Deduction with fixation
is the best solution.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
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 .
