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11-SEPTEMBER-2007 AHMAD MUHAMED AL-ZEER 55 YEARS POSTTRAUMATIC SLIPPED MOST
RIGHT UPPER SCREW OF THE HYBRID CERVICAL PLATE.
Anamnesis
The patient was operated for posttraumatic
multilevel segmental instability of the cervical
spine more than one year ago and check X-rays
were performed several times for the construct
were acceptable. The patient suffered another
RTA 25-August-2007 after what he started to
complain of difficult swallowing. Check X-ray
after trauma showed slipping of the most right
upper screw in the construct. So as to avoid
possible repetitive trauma to the esophagus, it
was planned to remove the screw and put replace
it with more wider diameter one with the same
length.
Using the same previous incision, the tip of the
screw was identified, guided by
image-intensifier, trying during that not to
traumatize the esophagus or other important
structures in the scarous field. The 4 mm
diameter 16 mm length screw was replaced with 16
mm length 4.5 mm diameter and it was not loose.
Smooth postoperative recovery.
Comments
The patient was exposed to sheering force
during accident and momentum was accumulated at the right
upper part of the construct, which caused the slipping of
the screw by counter-shock mechanism. The Reflex Hybrid
system is designed to prevent such accidents, but any
construct, whatever its advantages, cannot stand extreme
circumstances.
The purpose of the surgery is to prevent
repetitive trauma during swallowing so as not to have esophageal
fistula or tear, which could lead to disastrous sequelae.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
fixation is the most accurate system in the market. The microdrive and
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Inomed MER system
Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
LooksCam II in the run starting from 14-March-2020
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 .
