Dr. Fuad Al-Masri Syrian neurosurgeon.

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

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
neurosurgery.art
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuro-anesthessia.org

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

Neuroradiological Sites
neuroradiology.today

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

Stem Cell Therapy Site
neurostemcell.com


Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .

30-OCTOBER-2013  MUHAMED YOUSEF AL-HAJAR  59  YEARS  POST-TRAUMATIC SPONDYLOLISTHESIS L3-4 WITH SEVERE STENOSIS AND LESS STENOSIS AT L4-5.

 

Anamnesis

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The patient came to the clinic 29-October-2013 complaining of LBP for 15 years with numbness both feet for three months with intermittent claudication after walking more than 300 meters.

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MRI lumbar spine done 28-October-2013 showing spondylolisthesis L3-4 with severe stenosis at this level with less stenosis at L4-5.

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On examination: the patient is limping with no scoliotic stance. SLRS was 80 degrees with tightness in the left. No motor deficit but dyseasthesia both L5 roots territories.

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Laminectomy L3, L4 done. Foraminotomy both L4 roots. Discectomy of L3-4 was done from the left side with insertion of TLIF cage Novel TL  9x23x5 mm with bone graft. The lateral masses of L3-4 were fractured both sides. All the compressive elements were removed at L4-5. Using Isobar TTL module in monoaxial screws 6.2x45 mm were inserted to L3 and 6.2x45 polyaxial screws to L4. All stages of surgery were performed with C-arm. 2 bended rods 5.5x60 mm and cross connector were used to obtain transpedicular screw fixation with slight compression. Bone graft was used lateral to the rods. Routine closure of the wound.

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Smooth postoperative recovery. 

 

 

Comments

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The patient had trauma to the lateral masses of L3-4 which caused the spondylolisthetic changes.

 

Leica HM500

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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 .

WELCOME TO AL-SHMAISANI HOSPITAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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