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
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20-MAY-2015 MHIL MTAYYER AL-ENEZI 71 YEARS
RTA 27 -MARCH-2015 WITH BUST FRACTURE OF TH11 AND OPERATED LEFT SUBTROCHANTERIC
The patient to the emergency of Shmaisani
hospital transferred from Saudia with clinical
history of RTA 27-March-2015 with burst fracture
of the Th11 and left subtrochanteric fracture.
The patient was operated for the pelvic fracture
1 week after the accident. He had fracture right
clavicle and the 6 rib right with pneumothorax,
for what UWS was applied at the start of the
On examination; the patient is in bed with drop
left foot and week left lower limb with
analgesia of the left L5 root territory. He has
difficulty in urination, for what Foley's
catheter was applied.
The patient was sent for investigations and the
CXR showed the old fractures and the pelvis
showed acceptable alignment of the left femoral
head and shaft. The burst fracture was
compressing the spinal cord from the left.
Using the C-arm, skeletonization of D10, 11,12
and L1 was achieved. Transpedicular screws
Legacy 5.5x40 mm inserted to D10 and D12.
Distraction about 12 mm could reduce the bony
part touching the dura of the spinal cord.
Another transpedicular screws LEGACY MA 5.5x45
mm inserted to L1. 2 rods bended slightly to
adopt the natural curve of the area 130 mm were
used and fixation of D10-12 and L1 was achieved
after applying the maximal distraction both
sides. The C-arm showed acceptable alignment,
that there was no need to perform laminectomy or
to explore the dura around the previously
compressed area. Cross connector 22 applied.
Routine closure of the wound.
Smooth postoperative recovery. The power of the
left leg became slightly better than before the
The patient has unacceptable fracture of
the 11 dorsal body. fixation with decompression was
indicated even after 45 days of delay. The patient was
prepared for all scenarios, but distraction of D10-12
achieved remote the desired result, for what fixation with
distraction were limited in this procedure.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
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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 .