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
11-NOVEMBER-2014 NAHAR AHMAD AL-LOBANI 67 YEARS
SPONDYLOLISTHESIS L4-5 WITH SEVERE SEGMENTAL STENOSIS.
came to the clinic 03-November-2014 complaining
of difficult walking for 2 years with LBP for 30
years. MRI lumbar spine done 19-July-20111
showing lumbar canal stenosis L4-5. The patient
is a known diabetic for 5 years. Arterial
hypertension for 7 years and stinting of
the coronaries 2012.
On examination, the patient is limping with
exaggerated scoliotic stance with shooting left
sciatica. SLRS was 90 degrees both sides with
pain in the left. There is weak dorsiflexion
left foot -3/5 and right 3/5. Planterflexion
left foot 3/5 and right 4/5. There is weak both
quadriceps muscles 4/5.
The patient was sent for MRI dorsal and lumbar
spine which were done 04-November-2014 showing
small disci at the dorsal spine of no clinical
significance and spondylolisthesis L4-5 with
severe segmental stenosis. Dynamic studies
confirmed the presence of the spondylolisthesis
Skeletonization of L4,5 and upper sacrum to
partially expose the lateral processii of L4 and
L5. Using Medtronic legacy polyaxial screws
6.5x45 mm with bended 5.5 mm bended 2 rods
50 mm length, transpedicular fixation was done
at L4-5 level. Laminectomy 3/4 of L4 and upper
fourth of L5 was done with foraminotomy of both
L5 roots. During surgery C-arm was used and ISIS
transpedicular set was applied. The screws were
not responding even to 15 mA DNS and the root
were responding to 2 mA DNS. Cross connector 22
mm was used to provide more stability of the
construct and his own bone was melted and
applied lateral to the rods.
Routine closure of the
Smooth postoperative recovery. The power of the
feet became normal.
The patient still has a progressive
disease, the earlier the surgical correction the better
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
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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 .