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

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Neurosurgical Encyclopedia
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paraplegia.today

Stem Cell Therapy Site
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01-NOVEMBER-2013  SAADIYEH ABBAS JAWAD  75 YEARS  SPONDYLOLISTHESIS L4-5 WITH SEVERE STENOSIS.

 

Anamnesis

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The patient came to the clinic 30-October-2013 complaining of LBP for 15 years with bilateral sciatica more the right with exacerbation last 8 months with inability to walk more than 100 meters.

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On examination: the patient is limping with exaggerated scoliotic stance. SLRS was 75 degrees with tightness both sides. There is weak dorsiflexion both feet 4/5 with hypalgesia both L5 territories.

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MRI lumbar spine done 31-October-2013 showing spondylolisthesis L4-5 with severe stenosis at this level.

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Laminectomy L3, L4 and upper third of L5. Foraminotomy both L5 roots. The L5 lamina was completely sacralized and the L4-5 segment was completely fused. Inspection of the disc of L4-5 was done from the right. There is a slight motion at L3-4 facet due to severe degeneration. Bone graft was used lateral to the lateral masses. Routine closure of the wound.

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Smooth postoperative recovery.

 

 

Comments

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The patient has stable spondylolisthesis L4-5. Fusion was not needed in this case.

 

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Back Up!

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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