Spine Surgeons Pakistan

05/10/2022

A 50-year-old male patient presented with complaints of weakness of all four limbs. He was a software developer by profession. On examination power was 3/5 at C5-c7. Tendon jerks were brisk and Hoffmann sign was positive. A diagnosis of spondylotic myelopathy was made. Keeping in view the multiple level issue and ossified posterior longitudinal ligament the patient was operated using posterior approach with laminectomy at C3, 4, 5, and C6 with lateral mass fixation from C3 till C7. The recovery was uneventful and postoperatively patient had full power and had marked improvement in upper limb function. Our life has been made a little comfortable with oscillating drill which is of great help around the lateral mass and prevents tissues being rolled and avulsed. I am grateful to the team who looked after the patient not only during surgery but also provided excellent post op care in intensive care unit.

25/09/2022

Today I would like to share one of the success stories. A 14-year-old girl presented to us in the outdoor department with a progressive curve of 90 deg. The curve had shifted her entire trunk to one side, and she was having extreme difficulty in standing and walking. Her day-to-day activities had been affected greatly and she was almost confined to her house. The curve was rigid. She was planned to undergo fixation from T2-L4. Furthermore, we had to add three level osteotomies at the apex. Following surgery, she made remarkable progress. This success would have been possible without the brilliant team at Fauji Foundation Hospital, which came together for this case. I would also like to express my gratitude to Dr Tariq Imtiaz who has been supporting our spine program and Dr Waseem Afzal who has been guiding us in all the sateges.

19/07/2022

Today we would like to share a case of a 48 years old female. She complained of persistent low back ache for past 03 years. She was unable to bend forward and lift objects. She had progressive weakness and was unable to stand for no more than 5 minutes. Xrays Shows Spondylolisthisis at L2-3. She underwent interbody fusion at the affected level. Following surgery there was complete resolution of symptoms.
Yasir Umer,Waseem Afzal

30/11/2021

Revision surgery is always a challenge. Despite the best efforts to get it right the first time is not always the case. Todays we present a case of a young 34-year-old female who presented with cauda equina syndrome in May 21. Xrays done at that time showed reversal of curve and complete obliteration of the canal. She underwent laminectomy in emergency. The operating surgeon documented that the dura was friable, and discectomy was fraught with risk of irreparable dural tear. Patient improved and remained well for next 02 months. She contacted us because of severe leg pain and unable to stand. MRI revealed pr*****ed disc and a surgical scar. In view of the history and symptoms a TLIF surgery was performed. Patient’s symptoms improved dramatically and had complete resolution of pain. ALHAMDOLILAH.
Thanks to the Great Team, Dr Junaid Islmail, Dr Ahmed Bilal Khalique, Dr Yasir Umer
Direct querries to Mr Ajmal 03003338956

12/11/2021

A 13 years old patient presented to us with congenital scoliosis( abnormal curvature of spine). Her xrays and MRI scan were done which showed cobbs angle of around 54 degrees and no congenital spinal cord deformity respectively. Her deformity correction was done by performing posterior release and facetectomis and fixed with pedicle screws and rods under intraoperative neuromonitoring. There was no intraoperative or post operative complications and patient was able to stand after one day. Her recovery is going smoothly Alhamdulillah.

05/07/2021

A 58 years old lady presented with severe back pain especially after physical activity and bilateral radiculopathy for one year. Patient started to develop neurological deficit. Her xrays showed spondylolisthesis LV4-LV5 Meyerding type 3 . Fusion is must in this type of symptomatic cases but reduction is controversial. Posterior decompression and Delta fixation with transpedical transdiscal transcorporial screws after identifying the exiting nerve root was done(in situ fusion).

The optimal treatment of high-grade spondylolisthesis is a controversial issue. It is well known that symptomatic high-grade slip, resistant to conservative management requires surgical stabilization. Good results may be obtained in high grade spondylolisthesis with “in situ” fusion. In this type of spondylolisthesis a reduction is generally unnecessary to obtain good biomechanical and neurologic recovery. In situ fusion is a relatively safe and reliable procedure associated with a high rate of arthrodesis and at lower risk of neurologic injury
💉 medical

04/07/2021

03/07/2021

There is no escaping from Tuberculosis in Pakistan. Todays case is a case of TB Spine we operated. Patient was a 30 years female who was bed bound due to severe pain. We were able to clear all most of the dead bone from the back and insert this mesh case in a single stage surgery. We had to place the patient in a jacket. Post op patient was able to mobilize fully. Tuberculosis is one of those disease which have excellent results. A close cooperation is the key between Infectious Disease specialist, Intensivist, Anaesthetist, Spine Surgeon and Rehab Specialist.

11/06/2021

An excellent case

23/05/2021

Today's case is about a patient who presented to us with old history of fall in 2017. She complained of weakness in all four limbs. Tendon jerk was brisk.
Xrays showed a congenitaal block vertebra C4-5 and old spondylotic changes. MRI Showed an area of myelomalacia at C3-4.
As the neck was short it was decided that a posterior approach with laminectomy at C3-5 with Lateral mass screw was the best choice of procedure. Pre op vertebral artery was found to be normal. Surgery went uneventful. and post operative xrays were acceptable.
Patient is right now having marked improvement in power and undergoing rehab. Grateful to Brig Waseem Afzal for his valuable help and input.

Ahmed Bilal Khalique Junaid Ismail Yasir Umer Raja Ehtesham Ul Haq