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Surgical group is like a football team.

 
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.me

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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

 

22-OCTOBER-2009  ABDEL-SALAM AHMAD AL-QATAWNEH  50 YEARS  EXTRUDED DISC C6-7 WITH LEFT FORAMINAL OCCLUSION.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Prestige LP Cervical disc system

 

Anamnesis:

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The patient came to the clinic 20-October-2009 complaining of neck and left shoulder pain for 7 months with severe exacerbation the last 10 days with radicular pain down to the second and third fingers left hand. The last 4 days the patient is unable to sleep due to pain.

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MRI cervical spine performed 13-October-2009 showing huge extruded disc C6-7 with left foraminal occlusion.

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On examination: the patient has pain with limitation of mobility of the neck more to the left and flexion with extension of the neck. There is gross weak grip and extension of the left hand and the left triceps muscle 3/5 with hypalgesia of the median territory of the left hand. There is no cephalic, myelopathic syndromes, nor frozen shoulder.

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Using image-intensifier, discectomy of C6-7was performed and the extruded fragments to the left foramen were removed. Using the Medtronic Sofamor Danek Prestige LP technique the trail 5 mm was sufficient.  Insertion of Prestige LP cervical disc system  5X16 mm dimensions was achieved and check X-rays were performed in AP and lateral views with flexion and extension of the neck was done.

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Routine closure of the wound and smooth postoperative recovery and the power of the left upper limb normalized and the patient sent to the ward.


Comments

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Insertion of artificial disc can keep the disc height and mobility of the segment, preventing future escalation of events in the upper level, which is already suffering and remove stress at Leushko joints.

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The cost of the device is very expensive. This will limit its use in the daily activity.


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 .

     

  

[2009] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved