Major spinal surgeries Chamran hospital Operated by: Professor M.R farrokhi professor of neurospinal...
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![Page 1: Major spinal surgeries Chamran hospital Operated by: Professor M.R farrokhi professor of neurospinal surgery Chief resident: DR.M.Jamali.](https://reader037.fdocuments.in/reader037/viewer/2022110322/56649d095503460f949db786/html5/thumbnails/1.jpg)
Major spinal surgeries
Chamran hospitalOperated by:
Professor M.R farrokhi professor of neurospinal surgery
Chief resident: DR.M.Jamali
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Case 1
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• A 15 year old schoolgirl from beizaNo underlying diseaseNo childhood diseasesNo peri-natal complications
Presented with abnormal back shape since 2 years ago that progressed during this time
interval
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• The patient underwent spinal deformity reduction surgery.
• Post-op: No neurological deficit
MP: ALL 5/5Sensory and saddle: Intact
DTR: ALL 2/2Hemodynamic status : Stable
Vital signs: normal
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Post-op
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Case 2
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• A 27 year old young lady (housewife ) from laar without any underlying disease who developed back pain about 6 years prior to admission
Mild and tolerable at first Gradual exacerbation of pain
Slowly progressive back shape deformity
• The patient was referred to this center due to intolerable non responsive to analgesics back pain and severe kyphotic spinal deformity
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Lying on sand bag
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Three dimensional
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• The patient underwent kyphotic deformity reduction
POST OP:
• Stable hemodynamic status
• The patient developed left lower extremity weakness that recovered in almost three days
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Post-op ct
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Post-op MRI and myelogram
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Case 3
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• A 33 year old lady ,chemical engineer from sarvestan who developed low back pain about a year ago
• The patient referred to this center due to exacerbation of pain and also radicular left lower extremity pain
• Pre-op:Exam: Intact
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Sacral CT
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• The patient underwent sacral tumor resection surgery.
• Post-op:Mild saddle hypoesthesia
Urinary and fecal incontinency in spite of positive filling sensation
• Pathology report:Giant cell tumor + secondary aneurysmal bone
cysts
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Post-op MRI
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Coronal view
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Axial view
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Post-op x-ray
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Three dimensional
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Case 4
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• A 23 year old young lady operation room assistant without any underlying disease
• Progressive back shape deformity since the age of 14 without response to rigid brace therapy ( thoracolumbar scoliosis )
• Mild back pain especially at the right shoulder territory
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Left and right bending x-rays
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MRI
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MRI
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• The patient underwent scoliosis deformity corrective surgery
• Post-op:MP: all 5/5DTR: all 2/2
Sensory: intactSaddle: intactGait: normal
No neurological deficitStable hemodynamic status and lab data
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Post op
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Gratitude for your
kind attendanceCreated by: A.kiani MD