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

The patient  suffered RTA 3 days ago and came to hospital transferred from elsewhere. He had wedge-shaped fracture of L1 with burst fracture of D12. The patient was neurologically free and considering that the condition is unstable, Harrington distraction fixation was applied. The washers were forgotten to insert.  Postoperative course was uneventful and control X-ray was acceptable. It is worthy to follow the case and to evaluate the roll of the missing washers.