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
countless applications and many uses
Multigen RF lesion generator .
16-JUNE-2015 ALI MUHAMED AL-HADID 79 YEARS LCS D12
DOWN RO L5 WITH SPONDYLOLISTHESIS L3-4.
Anamnesis
The patient came to the clinic 07-June-2015
complaining of LBP with bilateral sciatica for2
years with inability to walk more than 50
meters. He use crutches for 10 years and he was
operated 21-November-2005 elsewhere for left
sciatica. MRI lumbar spine performed
24-October-2013 showing LCS L1 down to L5 with
spondylolisthesis L3-4.
On examination; the patient is limping walking
with help bended anterior with
exaggerated scoliotic stance. Neck and upper
limbs were neurologically free. SLRS was 70
degrees with pain in the right and 20
degrees with more pain in the
left. There is weak dorsiflexion
both feet -3/5 and planterflexion both feet -3/5.
There is weak quadriceps both legs 4/5.
The patient was sent for new investigations and
MRI lumbar spine performed the same day showing
the same data as before with further stenosis at
D12-L1 and the dynamic studies showing the
spondylolisthesis L3-4 and scoliotic deformity.
Decompressive laminectomy L1-4 and partial of
D12 and L5. Using Legacy system, transpedicular
fixation with scoliotic deformity correction was
applied to L2-3 and L4. Cross connector was
applied. The harvested bone was applied lateral
to the rods. Routine
closure of the wound.
Smooth postoperative recovery. The power of
both feet became better.
Comments
The patient having multiple problems of
his spine. The lumbar was the essential and correction of
all his problems were undertaken.
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
its sensor gives feed back about the localization.
Inomed MER system
Leica HM500
The World's first and the only Headmounted 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
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 .
