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Post-Operative Computed Tomography to Evaluate the Accuracy of Thoracic and Lumbosacral Spine Pedicular Screw Fixation
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 Background: pedicular screw fixation is rapidly becoming a widely used method of spinal instrumentation. Despite improvement in design of instruments and surgical technique and the use of intra-operative fluoroscopy, pedicle cortical perforations occur endangering nearby neurovascular or extra vertebral structures.
Objective: This is a prospective (consecutive cases study) designed for Evaluation of incidence of pedicle screw misplacement in our study sample, compare our results to what is published in literature.
Patients and Method: This study involved 25 adult patients ( 10 males and 15 females ) their age ranged between ( 18 and 70 years) who underwent spinal surgery with pedicle screw fixation for different disorders of thoracic and lumbosacral spine with the aid of intraoperative fluoroscopy. Computed Tomography (CT) scan within one month was done for all patients to evaluate the accuracy of pedicle screw placement. Any new neurological symptoms was recorded and correlated with screw misplacement.
Results: 122screws inserted in 25 patients with an overall accuracy of (90.16%), frank misplacement of (4.09% )and questionable penetration of ( 5.73%) , new neurological deficit was seen in (20%) among all misplaced screws and in one case (4%) out of the 25 cases.
Conclusion: pedicle screw fixation surgery is a demanding procedure. Our incidence of screw misplacement is compatible with the lower published results in the literature. Not all patients with frank penetration of the pedicle cortical outlines developed complications.

لفية البحث:  إن جراحة تثبيت العمود الفقري باستخدام مسمار قدم الفقرات أصبحت من الوسائل الشائعة في جراحه العمود الفقري. رغم التطور الذي في تقنيات و تصاميم وسائل هذه ألجراحه و استخدام التصوير ألشعاعي إثناء هذه ألجراحه لازالت هنالك احتماليه وضع هذا المسمار في غير موضعه الصحيح محدثا ثقوبا في قشره قدم الفقرات مهددا أصابه الأحشاء العصبية و الوعائية ما حول الفقرات.

الهدف من الدراسة: تقييم دقه موضع مسمار قدم الفقرات في مجموعه المرضى اللذين شملوا بهذه الدراسة. مقارنه نتائج دراستنا من حيث نسبه عدم ألدقه مع النسب ألمنشوره في الدراسات و البحوث العالمية الأخرى.

طريقه الدراسة: في هذه الدراسة تم ضم 25 مريضا بالغين (10 ذكور و 15 إناث), تتراوح أعمارهم مابين (18-70) عاما اللذين خضعوا لجراحه تثبيت العمود الفقري بواسطة مسمار قدم الفقرات لمختلف العلل الجراحية للعمود الفقري في المنطقة الصدرية والقطنية والعجزية , تم إجراء التصوير المقطعي لجميع المرضى خلال شهر واحد ما بعد ألجراحه لتقييم دقه موضع مسمار قدم الفقرات وقد تم تسجيل إي اختلاطات سريريه عصبيه ما بعد ألجراحه.

النتائج: لقد تم وضع 122 مسمارا في 25 مريضا وقد كانت النسبة ألعامه لصحة موضع مسمار قدم الفقرات (90,16%) و كانت نسبه عدم الصحة (4,09%) و كانت نسبه (5,73%) غير واضحة و مشكوك في صحة موضعها لقد لوحظ وجود اختلاطات عصبيه في 20%من العدد الكلي للمسامير ,في مريض واحد 4% من أصل 25 مريضا.

الاستنتاجات : إن جراحه تثبيت العمود الفقري بواسطة مسمار قدم الفقرات جراحه تتطلب دقه و خبره في هذا المجال, نسبه عدم صحة موضع مسمار قدم الفقرات في دراستنا مقاربه إلى اوطا النسب ألمسجله في الدراسات و البحوث ألمنشوره عالميا.

 

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Publication Date
Sun Oct 01 2017
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Short segment versus long segment posterior pedicular fixation of thoracolumbar fracture
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Background: Fracture dislocation at the junction between thoracic and lumber segments of spinal column by direct or indirect high energy force which is usually managed with more than three vertebral level fixation. Short segment stabilization have a wide range of benefits including length of time utilized for surgical intervention, reduce functional and psychological disability postoperatively and local surgical site complications.
Objective: Evaluate the efficacy of posterior short segment pedicle stabilization in T-L fracture clinically and radiologically. Also to compare outcome of pedicle fixation by long segment and short segment an finally we try to insert at least one screw in the fracture vertebra to strengthen the stabilizati

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Publication Date
Tue Jun 20 2023
Journal Name
Baghdad Science Journal
Assessment of image quality of cervical spine complications using Three Magnetic Resonance Imaging Sequences
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Examining and comparing the image quality of degenerative cervical spine diseases through the application of three MRI sequences; the Two-Dimension T2 Weighed Turbo Spin Echo (2D T2W TSE), the Three-Dimension T2 Weighted Turbo Spin Echo (3D T2W TSE), and the T2 Turbo Field Echo (T2_TFE). Thirty-three patients who were diagnosed as having degenerative cervical spine diseases were involved in this study. Their age range was 40-60 years old. The images were produced via a 1.5 Tesla MRI device using (2D T2W TSE, 3D T2W TSE, and T2_TFE) sequences in the sagittal plane. The image quality was examined by objective and subjective assessments. The MRI image characteristics of the cervical spines (C4-C5, C5-C6, C6-C7) showed significant difference

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Publication Date
Sun Jan 04 2015
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Unintended durotomy during degenerative lumbar spine surgery (Incidence and management).
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Background: Unintended durotomy is an infrequent but well-recognized Complication during degenerative lumbar spine surgery. The current literatures report a wide variation in incidence of durotomy during degenerative lumbar spine surgery.
Objective: To assess the incidence, treatment, clinical consequence, complications of unintended durotomy during degenerative lumbar spine surgery, and the results of 2-24 months clinical follow-up.
Patients and Methods: A prospective study was conducted on 264 patients who underwent degenerative lumbar spine surgery performed in Al-Sheikh Zayed Hospital and private nursing home hospital- medical city in Baghdad from January 2011 to June 2012. Patients managed by spine fix

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Publication Date
Wed Jan 02 2013
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Irrigtion of Gallbladder bed with bupivacaine for post- operative pain relief in laparoscopic cholecystectomy.
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Background: Although pain after laparoscopic cholecystectomy is less intense than after open Cholecystectomy, some patients still experience considerable discomfort, and use of local anaesthetics irrigation is controversial.

Objectives :to evaluate the effect of intraperitoneal and port site instillation of local anaesthetics on pain relief in the first 6 hours postoperatively.

Patient and Method: Forty patients underwent elective laparoscopic cholecystectomy were included in this study and sample was divided into two equal groups. Group A received 20 ml of 0.9% normal saline instilled in the gallbladder bed, while group B received 20 ml of 0.25% bupivacaine instilled in

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Publication Date
Tue Apr 01 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Accuracy of ultrasound versus computed tomography in diagnosis of maxillary sinusitis
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Background: ultrasound offers non-invasive, rapid and simple method for confirming the clinical diagnosis of maxillary sinus pathologies.
Objective: to evaluate the accuracy of real time ultrasound compared with the computed tomography in evaluation of maxillary sinusitis.
Patients and materials: This comparative cross-sectional study was done on 42 patients referred for computed tomography examination of paranasal sinuses in Al-Yarmook Teaching Hospital-Baghdad, from October 2012 to February 2013 with patients clinically suggesting an underlying maxillary sinusitis. Ultrasound and computed tomography examinations were carried out on the same day, the ultrasound being the first investigation. The sample of this study consisted of 2

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Publication Date
Tue Jun 16 2020
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Spectrum of Chest Computed Tomography findings of Novel Coronavirus disease 2019 in Medical City in Baghdad, a case series
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Background: Native chest Computed Tomography (CT) is a quick, non-invasive and practical investigation & plays an important role in evaluation of Coronavirus Disease 2019.

Objective: to describe the chest CT findings in patients with confirmed coronavirus disease 2019 (COVID-19) in sample from Baghdad population.

Patients & methods: Study sample consisted of 55 patients with laboratory confirmed COVID-19 from 1st March through 15th April 2020. Native chest CT was performed in radiology departments in Medical City Teaching Complex (MCTH). The chest CT images were reviewed & analyzed.

Results: The most frequent CT findings were ground-glass opacities (47.3%) & mixed ground glass

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Publication Date
Mon Dec 31 2018
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Ultrasound, computed tomography and surgical observations in the evaluation and staging of the renal cell carcinoma
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Background: The evaluation and staging of renal cell carcinoma (RCC) has dramatically changed with the introduction of cross-sectional imaging. Nowadays, small renal lesions are easily detected by computed tomography (CT) examination while missed by other modalities.

Objective: To determine whether ultrasound (US) or CT scan is the optimum imaging modality for the evaluation of the renal masses.

Patients and methods: This is a comparative study in which 30 patients with hematuria were attending the urological consulting clinic in Ghazzi Al-Harriry hospital, Baghdad, Iraq from May 2016 to July 2017 were subjected to abdominal US and CT scan.

Results:

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Publication Date
Sun Jan 04 2015
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Gentamycin injection in disc space during lumbar discectomy (aiming to prevent post - operative discitis)
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Background: Postoperative discitis is uncommon 4%, but it is the most disabling postoperative complication after lumbar discectomy.
Objective: To assess the effectiveness of intradiscal Gentamycin in prevention of lumbar discitis post operatively.
Patients and Methods: This is a prospective study involving 320 patients, who had lumbar discectomy. 140 patients (first group) from Jan. 2012 to Jan. 2013 were not had intradiscal gentamycin injection, while 180 patients (2nd group) From Jan 2013 to Jan 2014 (2nd group) had intradiscal injection of 80mg Gentamycin at the end of surgery and before closing up. Follow up was done 10 days to 6weeks after surgery by W.B.C count, ESR, C-reactive protein and clinical assessment.
Results: The

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Publication Date
Sun Jan 03 2016
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Role of Ultrasound and computed tomography in assessment of abdominal lymphadenopathy and splenomegally in lymphomas
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Background: lymph nodes involvement is the most common presentation of abdominal lymphoma; their diagnosis is based on variety of imaging modalities, histopathology of different areas of involvement and stage of the disease.
Objective: to compare the value of abdominal ultrasound (US) and computed tomography (CT) scan in already diagnosed cases of lymphoma and evaluation of lymph nodes and splenic involvement in patients with proved lymphoma.
Patients and methods: thirty patients with lymphoma were gathered from hematological unit in Baghdad teaching hospital retrospectively depending on their histopathology that revealed either Hodgkin lymphoma (HL) or non-Hodgkin lymphoma (NHL) and they were examined by ultrasound and CT scan of

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Publication Date
Mon Dec 31 2018
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Laminectomy versus interlaminar approach for Lumbar disc herniation
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Background: Low back pain is the most common health problem in men and women between the ages of 20 and 50 years. The lumbar disc prolapse has a major role in this condition. Treatment is either conservative or surgical. The most common surgical interventions are either laminectomy or interlaminar approach.

Objective: To determine which is the best surgical approach for the patient according to his/her type of disc herniation.

Patients and methods: A comparative clinical study conducted in the Neurosciences Hospital, Baghdad, Iraq from January 2016 to January 2018. In this paper we evaluated the clinical outcome following both approaches

Results:

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