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 .
17-FEBRUARY-2013 MUHAMED DIYAB MISLEH 48 YEARS
BURST FRACTURE OF L1.
Anamnesis
The patient came 16-February-2013 complaining of
LBP with weak right leg after falling down 6
hours ago in stretcher transferred from another
hospital.
On examination: SLRS was 20 degrees in both
sides with pain. There is
weak dorsiflexion and
planterflexion right foot 4/5. The bladder if
full and cannot void for what Foley's catheter
was inserted.
MRI lumbar spine done 16-February-2013 showing
burst fracture of L1 with bony compression of
the spinal cord.
Skeletonization of D12,
L1,2,3 with preservation of the interspinous
ligaments. Using DePuy Spine J&J 5x40 mm
polyaxial screws were inserted to D12, 5x45 mm
to L2 and 6x45 to L3 bodies. All stages were
done using C-arm. 2 rods 5.5 mm thickness and 90
mm length, bended to accept the natural curve of
the area were used to fuse the D12, L2, L3
bodies. Applying distraction between L2 and D12,
good reduction of the bony alignments of L1 was
achieved. Cross connector was applied for more
rigid fixation of the construct. Bone graft was
not used intentionally to prevent future bony
fusion of the posterior elements in case of
possible removal of the construct.
Routine closure of the wound.
Smooth postoperative recovery. The power of
right foot became better.
Pre and postoperative X-ray showing
the reduction and fixation.
Comments
The patient had unstable fracture of L1.
Transpedicular fixation and reduction is the
best option.
Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision.
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 .
