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Major spinal surgeries

Major spinal surgeries. Chamran hospital Operated by: Professor M.R farrokhi professor of neurospinal surgery Chief resident: DR.M.Jamali. Case 1. A 15 year old schoolgirl from beiza No underlying disease No childhood diseases No peri -natal complications

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Major spinal surgeries

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  1. Major spinal surgeries Chamran hospital Operated by: Professor M.R farrokhi professor of neurospinal surgery Chief resident: DR.M.Jamali

  2. Case 1

  3. A 15 year old schoolgirl from beiza • No underlying disease • No childhood diseases • No peri-natal complications Presented with abnormal back shape since 2 years ago that progressed during this time interval

  4. The patient underwent spinal deformity reduction surgery. • Post-op: No neurological deficit MP: ALL 5/5 Sensory and saddle: Intact DTR: ALL 2/2 Hemodynamic status : Stable Vital signs: normal

  5. Post-op

  6. Case 2

  7. 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

  8. Lying on sand bag

  9. Three dimensional

  10. The patient underwent kyphotic deformity reduction • POST OP: • Stable hemodynamic status • The patient developed left lower extremity weakness that recovered in almost three days

  11. Post-op ct

  12. Post-op MRI and myelogram

  13. Case 3

  14. 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

  15. Sacral CT

  16. 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

  17. Post-op MRI

  18. Coronal view

  19. Axial view

  20. Post-op x-ray

  21. Three dimensional

  22. Case 4

  23. 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

  24. Left and right bending x-rays

  25. MRI

  26. MRI

  27. The patient underwent scoliosis deformity corrective surgery • Post-op: MP: all 5/5 DTR: all 2/2 Sensory: intact Saddle: intact Gait: normal No neurological deficit Stable hemodynamic status and lab data

  28. Post op

  29. Gratitude for your kind attendance Created by: A.kiani MD

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