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
26-APRIL-2014 KHERIYE AHMAD QALABATA
72 YEARS SPONDYLOLISTHESIS L4-5 , L3-4 WITH STENOSIS L2-3.
The patient was operated by me
17-Novemebr-2007 for LCS L2-3, L3-4 and
L4-5. Then she came to the clinic 18-March-2014
complaining of LBP for 2 months with right
sciatica. She is receiving L-thyroxin 50
microgram daily for the last 7 months and under
treatment for gout.
On examination; the patient is limping with
exaggerated scoliotic stance. SLRS was 40
degrees right side with pain
and 50 degrees in the left. There is weak
dorsiflexion both feet -4/5. MRI of the lumbar
spine repeated the same day showing
spondylolisthesis L3-4 and L4-5 with old
extruded disc L2-3.
Using the C-arm, the L4-5 level identified.
Exposure of the old wound and the lateral masses
of L2-3, L3-4 and L4-5 were exposed and the
transverse processii also. Drilling of the
medial parts of the right L3-4 and L4-5 lateral
masses. Inspection of the L4-5 disc space. It
was very shallow, that insertion of TLIF cage
was meaningless. Using Vitatech system, 4
monoaxial 6.5x45 mm screws were inserted to the
L3 and L4 levels. 2 polyaxial 6.5x45 mm screws
were inserted to the L5 level. 2 rods were
bended to accept the normal curve of the area.
Slight distraction of L4-5 level. Cross
connector was applied. 5 cc bone graft granules
were added lateral to the rods. All stages of
surgery were done with C-arm control.
Smooth postoperative recovery. The power of the
both feet became normal.
The patient has unstable back at 2 levels which
needs fixation. All the compressive elements
were eliminated from the right side.
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
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 .