major spinal surgeries

Major spinal surgeries

Chamran hospitalOperated by:

Professor M.R farrokhi professor of neurospinal surgery

Chief resident: DR.M.Jamali

Case 1

• 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

• 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

Post-op

Case 2

• 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

Lying on sand bag

Three dimensional

• The patient underwent kyphotic deformity reduction

POST OP:

• Stable hemodynamic status

• The patient developed left lower extremity weakness that recovered in almost three days

Post-op ct

Post-op MRI and myelogram

Case 3

• 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

Sacral CT

• 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

Post-op MRI

Coronal view

Axial view

Post-op x-ray

Three dimensional

Case 4

• 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

Left and right bending x-rays

MRI

MRI

• 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

Post op

Gratitude for your

kind attendanceCreated by: A.kiani MD