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Spinal Disorders

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  Spinal Disorders

More then 80% of the general population suffers from back pain and these figures may be more in Iraq due to lack of physiological fitness as well as the bad psychological back ground of the current circumstances.

Most cases of back pain can be treated by analgesic and physiotherapy, only few cases needs surgical interventions and fortunately this kind of intervention is highly successful. This page show some of the spinal cord disorders which has been treated surgically.

 

 

 

 

 

 

Abdulla Fahed

14 days old

Basra-Alhiania

 

Congenital dorsal meningomyelocele. Operated on 2-3-07 with total excision of the sac and dural repair.

 

 

 

 

 

Mwslim Juada

30 years old

Alnassiriyah

 

On 25-2-07,he exposed to road traffic accident.  He had breathing difficulty  with loss of the ability to move   both legs. Urgent chest tube inserted to evacuate blood collection inside the chest . Dorsolumbar MRI showed severe fracture at D8-D9 with spinal cord compression. Internal vertebral column fixation with spinal cord decompression  was done on 1-3-07.

 

 

dorsal x-ray  showed  fracture at D8-D9

MRI showed  fracture at D8-D9

 

Hashmia  Hettee

70 years old

Alamara

 

Headache for one year, complete paralysis of left side of the body and weakness of the right side. Brain MRI showed anterior foramen magnum mass severely compressing the junction of brain stem and spinal cord. Total excision was done on 11-2-07, and sent for histopathology.

 

 

Brain MRI without contrast

Brain MRI with contrast

Hania Hussein

30 years old

Alnassiriyah

 

Ataxic gait with diplopia for several years.  Brain MRI showed herniated cerebellum (chiari syndrome grade 2). Surgical intervention was done on 25-8-07 with craniectomy of the posterior fossa, removed C1 lamina with incised dura to be closed with patch to give more space for herniated cerebellum to be return back. After surgery, she was dramatically improved. After 3 months , ataxic gait and diplopia disappeared  and returned  back to her work.

 

 

Brain MRI

cerebellar herniation

 

 

Ashwaq Dakal    

26 years old

Alnassiriyah-Alssader city

 

A case of severe backache for 4 months not responding to medication. When she visited my private clinic, she was severely ill with severe tenderness at dorsolumber region. She had rapid response to steroid. Dorsolumber MRI showed extradural hyperintese lesion extend from D11-D12. Dorsal laminectomy with complete excision of mass was done on 15-5-06 histopathology revealed spinal cord lymphoma. she was sent for chemotherapy . On 11-1-07, she visited my  private clinic and her new MRI showed complete resolution of the mass.

 

 

 

MRI extradural hyperintese lesion extend from D11-D12

 

11-1-07  MRI complete resolution

Najam Abdullah

37 years old

Kerbala 

 

Suffered from backache and inability to walk. lumbosacral MRI showed disc prolapsed at two levels L4-L5,L5-S1.Leminectomy and discectomy was done for two levels on 19-4-06. Post operatively, the patient started walking and after two weeks, he joined his job.

 

MRI disc prolapsed

 L4-L5,L5-S1

 

 

Mylography

 

 

 

 

 

 

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