Dr. Ashraf Amin Al-Kurdani, Consultant Neurosurgery at AGH Jubail performed a rare surgery for a 57-year-old patient suffering from chronic back pain with extreme difficulty in walking combined with diabetes, bloo pressure and kidney weakness.
After examining the patient and taking the necessary x-rays, it was found that there was a hematoma in the body of the third and fifth sacral vertebrae, and the presence of cartilage between the fourth and fifth lumbar vertebrae causing pressure on the left nerve root. A magnetic resonance imaging showed the presence of cartilage degeneration between the third and fourth lumbar vertebra.
Dr. Ashraf Al-Kardani called for a 5-hour operation to treat these symptoms and prevent them from getting worse. Medical cement was injected into the third lumbar and fifth sacral vertebrae to treat the hematoma. The cartilage causing pain was removed and replaced with artificial cartilage to restore balance to the shape of the vertebra. Artificial bone was inserted next to the lumbar vertebrae for a spinal fusion with fixation of the vertebrae with medical screws and iron rods next to it. A spinal biopsy was done for the third, fourth and fifth lumbar vertebrae in order to expand the spinal canal.
The patient was discharged from the hospital after a few days and is in good health.