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
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Multigen RF lesion generator .
28-SEPTEMBER-2014 LIZA ANTONY AZER 74 YEARS
SPONDYLOLISTHESIS L4-5 WITH COMPLETE SEGMENTAL OCCLUSION.
Anamnesis
The patient came to the clinic 20-September-2014
complaining of LBP with bilateral sciatica for 2
years more to the right with numbness big toe
left foot. The
patient is a known hypertensive for 8 years and
diabetic for 3 years.
MRI lumbar spine done 01-September-2014 showing
spondylolisthesis L4-5with severe stenosis L4-5.
MRI cervical spine showing bulge C5-6.
On examination; the patient is not limping with
exaggerated scoliotic stance. SLRS was 70
degrees with pain in the right and 85 degrees in
the left with pain. Weak
dorsiflexion both feet 4/5.
Skeletonization of L3,4,5 and upper sacrum.
Inspection of the spine: L4-5 is flail.
Foraminotomy of right L4 and L5 root with
discectomy L4-5 from the right with insertion of
TL cage 8x25x40x8 mm. Pin point dural
defect took place from the right side and it was
repaired with 6 zero nylon. Trendelenburg
position and Valsalva maneuver applied. No CSF
leak. XIA 3 monoaxial screws
6.5x45 were inserted to the L4 body and 2 long
arm 6.5x45 mm to L5.
Decompressive laminectomy L4-5. 2 bended rods were used
with cross connector MAC 42 mm length with
allograft were used to obtain transpedicular
fixation L4-5 Slight compression was
applied at the level of L4-5. The harvested bone was
applied lateral to the rods. Routine closure of
the wound.
Smooth postoperative recovery. The
power of both feet became normal.
Comments
The patient has a lot of problems which
needed surgical correction.
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.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
Inomed MER system
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 .
