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Procedures

Back - Thoracic and Lumbar Spine

Five percent of the United States population experiences back pain each year (1). Over your lifetime, you have a 60-80% chance of experiencing at least one episode of back pain. Most episodes are not severe and resolve without medical care. Some, however, are severe and disabling. But even the more severe cases which cause patients to seek medical or chiropractic care are usually transient. It has been estimated that 90% of patients who seek professional treatment for back pain will be pain free within 1-3 months. In this group of patients, after ruling out an underlying systemic cause such as a malignancy or infection, appropriate care consists of providing conservative treatment.

The gold standard of conservative treatment consists of management with NSAIDS (Non Steroidal Anti Inflammatory Drugs) and exercise therapy (chiropractic or physical therapy). If these modalities fail after a 3-6 week trial, referral to a specialist (neurosurgeon or orthopedic surgeon) is appropriate. Often, we as specialists will continue conservative measures. When this fails, surgery can be extremely effective. Surgery is only performed when conservative measures fail and diagnostic tests demonstrate abnormalities.

In our practice, the most frequently encountered causes of nerve impingement in the lumbar spine are herniated disk, spinal stenosis and painful mechanical instability with degenerated disk.

Transforaminal Lumbar Interbody Fusion (TLIF)

Fusions are performed in patients with degenerative disk disease, spondylolysthesis, recurrent herniated disks, and spinal stenosis. In fusion of the lumbar spine two or more vertebral segments are joined together, eliminating movement in the joints. The procedure is performed with the hope of reducing pain caused by movement and associated compression of the nerve roots.

While there are numerous methods available to fuse the spine, in patients whose pathology allows it, the TLIF procedure can be minimally invasive. This means that there is a reduction in the amount of muscle and skin that is damaged during surgery and there is less blood loss and post operative pain. Potentially recovery time is quicker as well.

As can be seen in the illustrations above, dilators are placed over one another in progressively larger sizes.  A tube is then placed over the dilator and the dilator removed. Instruments are used inside the tube to remove disk material and make a space for the bone implant or fusion cage.  The bone implant (Medtronic Boomerang shown here) or cage is inserted. Often, percutaneous pedicle screws are inserted to stabilize the joint while fusion occurs.

Your doctor will provide details of the procedure that is right for you as well as the benefits and risks. He will also provide instructions for your care before and after the procedure.

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دايو ،نحن نصنف ارخص و اسرع اصلاح ميكرويف تفضلها فى جمهورية
مصر العربية حيث اننا نصل اليك
فى نفس يوم تقديم طلبات التصليح مهما كان مكان بيتك فى اى مكان
فى القاهرة و المحافظاتلآن المركز متخصص فى تقديم
اعمال صيانة مشاكل الميكروويف دايو لما
يقرب من خمسة و عشرون عام و خبرتنا الكبيرة تتحدث عنا لاننا لدينا من الخبرة فى جميع موديلات ميكرويف دايو مما يجعلنا نحتلف عن كثير
من مركز التصليح الاخرى ما عليك هو الاتصال على تليفون اصلاح ميكرويف دايو وهو وسيلة التواصل
الاولى و طريقة طلب خدمة مركز صيانة ميكروويف دايو من خلاله يمكنك الحصول على ال خدمة المميزة فى دايو والتصليح الفورية فى اعطال
الميكرويف التى تصلك فى اسرع وقت و فى مكان اقامتك فى القاهرة و
المحافظات و نقدم لك الصيانة المميزة فى
كل منتجات دايو المنزلية و لكل انواع الميكروويف لا تتأخر فى الاتصال
بنا اذا صادفك عطل فى جهاز الميكروويف فنحن مستعدون دائما للاصلاح الفورية
ب بيتك فى اى مكان و لآى موديل من موديلات دايو كما من التزامنا ان نحذر من كثيرمن مركز الخدمة التى تدعى انها تنفذ
الاصلاح بمنزلك\مكانك ولكنها فى الحقيقة بمجرد ان تصل لبيتك تتحجج بأى
سبب و توهمك انه لا يصلح الصيانة
بالمنزل و يجب ان يتم نقله و هذه المراكز غير حقيقية و هى فى الاساس لا تمتلك مهندسين مدربين على الاصلاح
بمنزلك و كل هدفهم هو نقل الجهاز بعيد عن
عين العميل لجعله حقل تجارب و لفرض مصاريف
صيانة عالية على العميل نحن الوحيدون الذين
يوفروا تصليح بالمنزل فعلا لذا نختلف عن اى مراكز دايو اخر
، يقوم مركز صيانة ميكرويف دايو ببتوفير ارشادات ما قبل الصيانة لمنتجات دايو , فيمكنك تعلم استعمال منتجات دايو من البداية , والتعرف علي الطرق الصحيحة للمحافظة علي
سلامة اجهزة دايو الالكترونية, كما نقوم بتدريب فيين اصلاح
دايو على احدث اساليب تكنولوجيا
صيانة دايو والتدريب على احدث اجهزة كشف
الاعطال الحديثة الخاصة فى منتجات دايو المنزلية ،معنا يمكنك الحصول على نصائح و ارشادات للمحافظة على ميكروويف دايو من التلف السريع و ايضا لزيادة العمر
التشغيلى لفرن الميكرويف و ذلك عن طريق التواصل معنا اما عبر
موقعنا لصيانة الميكروويف دايو او عن
طريف الاتصال عبر التليفون على الرقم الموحد و التى تتم على جميع افران ميكرويف دايو المحلية و المستورده و نحن بحرصنا على تركيب قطع غيار
اصلية نضمن تقديم خدمة بتقنية عالية
و بارخص الاسعار حيث اننا نوفر على
العميل مصاريف نقل الجهاز من و الى المراكز
لآننا لا ننقل جهاز دايو ابدا
من منزل العميل ما عليك سوى ان تتصل بنا نصلك اينما كنت
وفى نفس اليوم و الصيانة فورى مهما كان
صعوبة عطل ميكرويف دايو لاننا لدينا
المهندسين و الفنيين القادرين على تحديد العطل و التصليح بجودة فى اى جهاز دايو كما اننا نقدر وقت
العميل من حيث الوصول اليه فى نفس اليوم و القيام بالخدمة كاملة فى منزله
دون تعطيل لذا نحن مراكز الاصلاح الاول لميكروويف دايو و
المتخصص الوحيد فى تقديم ال خدمة
الفورية فى صيانة دايو بمنزلك بأرخص الاسعار
خبراء الاصلاح المتخصصون مهندسون خبراء فى مجال عملهم اكتسبوا الخبرة اللازمة في مراكزنا مدربون على فنون الاصلاح الحديثةبشهاده خبرة وجودة اكفاء في
عملهم ، مهندسون وفنيون لاصلاح افران الميكرويف وهم مهارة في كشف المشاكل بالمنتجات لاننا نستخدم احدث الامكانيات الموجوده بالاسواق والتكنولوجيا
العاليه في مجالنا مما يجعلنا نتميز عن غيرنا لاننا اول من عمل فى
مجال اصلاح الميكروويف فى مصر تتم الخدمة بنركيب قطع الغيار الاصلية التى تضمن تقنية
مستوى الاصلاح المقدم من مركز تصليح دايو اجهزة المنزلية و افران الميكرويف
لذا نحن نعتبر المتخصصون الاوائل في مصر
فقط اتصل على علي الرقم المخصص فى خدمة عملاء ميكروويف دايو مصر تجد
لدينا مفهوم الخدمة المثالبة المدعوم بقطع الغيار الاصلية
و المقدم بفريق عمل فنيين المركز المدربيت على تنفيد طلب الصيانة اللازمة
لأجهزتكم المنزلية على اعلى
مستوى يزيد من التقنية العالية
لميكروويف دايو و يطيل العمر التشعيلى لجهاز , تحقيق ما يتمناه العميل من مهارة و تميز وارضاء العميل عن طريق فريق عمل
من الفنيين من هم علي درجة عاليه من المهارة ويدركوا جميع التفاصيل الفنية
المدربين على الاصلاح الفورى ومعنا الدعم
الفنى من المركز الى العميل مباشرةً من الجمعة الى الخميس طوال اليوم نصلك
اينما كنت بالخدمة الفورية المميزة و التقنية العالية فى اصلاح دايو و
باقل التكلفة مما يحقق لك شيئا مميزا يعانى منها العملاء من
سوء أختيار " المهندس او المركز " الغير مناسبة لتصليح ميكرويف دايو نحن الاقوى ، الافضل ،المتميزون
،رقى الفنى فى التعامل مع عملاء ميكرويف دايو الاعزاء خدمة فورية وسريعة بالمنزل بدون
ازعاج فى جميع طلبات خدمات التصليح المنزلية تتوفر تلك قطع
الغيار مع مندوب المركز الذى يقوم بتقديم خدمة صيانة ميكرويف دايو لعملاء المراكز الكرام مما يعنى اسرع خدمة تصلك
و الاصلاح فورى فى نفس اليوم و هذا لا يتحقق مطلقا فى اى مراكز تصليح منافس اخر
مساكن شيراتون – مدينة نصر – العباسية – جسر السويس – عين شمس – السواح – الاميرية – سراى القبة – مصر القديمة
– جامع عمرو – البساتين – شبرا مصر – وسط البلد –
شبرا الخيمة – حدائق القبة – شارع بورسعيد – الوايلى – مسطرد – المطرية – الزاوية – السواح – السيدة زينب -الامام الشافعى– السيدة عائشة – بولاق الدكرور
– الوراق – امبابة - الدقى
– المهندسن – العجوزة – المقطم – الهضبة الوسطى – القطامية – عزبة النخل –
المرج – مدينة 6 اكتوبر – مدينة
الشيخ زايد- زايد 2000- الفردوس - حدائق اكتوبر – الحوامدية -البدرشين - العياط – الجيزة – ام
المصريين – المنيب – ترسا – الهرم – فيصل – حدائق
الاهرام – المريوطية – المعادى – دجلة – ثكنات
المعادى – حلوان – التبين- المعصرة –
15 مايو – منشية ناصر – الدويقة – السيدة عائشة – التجمع الخامس – القاهرة الجديدة – الرحاب – مدينتى – الشروق
– العبور – مصر الجديدة – النزهة الجديدة – زهراء المعادى – مدينة المعراج – القطامية – الماظة – الجلاء – المطار – ارض الجولف - شارع الثورة – عمارات العبور – الالف مسكن – منشية
البكرى - روكسى – الزيتون -حدائق الزيتون– منشية الصدر –
دير الملاك – حمامات القبة – المطرية

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جمهورية مصر العربية حيث اننا نصل
اليك فى نفس يوم تقديم طلبات التصليح اينما
كان مكان سكنك فى اى مكان فى القاهرةلآن المركز
متخصص فى تقديم اعمال اصلاح اعطال
الميكروويف LG لما يقرب من خمسة و عشرون
سنة و خبرتنا المميزة تتكلم
عنا لاننا نملك من الخبرات فى مختلف موديلات
ميكروويف LG مما يجعلنا ننفرد عن من مراكز الاصلاح الاخرى ما عليك سوى الاتصال على تليفون اصلاح ميكروويف
LG وهو وسيلة التواصل الاولى و طريقة طلب خدمة مركز صيانة ميكروويف LG من خلاله يمكنك الحصول على ال خدمة المميزة
فى LG والاصلاح الفورية فى مشاكل الميكرويف
التى تصلك فى اقل مدة و فى مكان اقامتك فى مصر و نقدم لك التصليح المميزة فى جميع اجهزة LG الالكترونية و لكل انواع الميكروويف لا تتردد فى الاتصال بنا اذا صادفك عطل
فى جهاز الميكرويف فنحن جاهزون دائما للاصلاح الفورية ب المنزل فى
اى مكان و لآى موديل من موديلات LG
كما من واجبنا ان نحذر من كثيرمن مركز الخدمة التى تدعى انها تنفذ الاصلاح بمنزلك\مكانك ولكنها فى الواقع بمجرد ان تصل
لبيتك تتحجج بأى سبب و توهمك انه لا
يصلح الاصلاح بالمنزل و يجب ان يتم نقله و تلك المراكز وهمية و هى فى الاساس
لا تمتلك مهندسين قادرين على التصليح
ببيتك و كل هدفهم هو نقل الجهاز بعيد عن مراقبة العميل لجعله حقل تجارب و لفرض مصاريف تصليح مبالغ فيها على العميل نحن الوحيدون الذين يوفروا تصليح بالمنزل
فعلا لذا نختلف عن اى مراكز LG اخر ، يقوم مراكز اصلاح ميكرويف
LG ببتوفير ارشادات ما قبل الاصلاح لمنتجات LG , فيمكنك تعلم استعمال منتجات LG من البداية ,
والتعرف علي الطرق الصحيحة للمحافظة علي سلامة اجهزة
LG الكهربائية, كما نقوم
بتدريب فيين تصليح LG على احدث اساليب تكنولوجيا صيانة LG والتدريب على احدث اجهزة
كشف المشاكل الحديثة الخاصة فى اجهزة
LG الكهربائية ،معنا يمكنك الحصول على نصائح
و ارشادات للمحافظة على ميكروويف LG
من التلف السريع و ايضا لزيادة
العمر التشغيلى لفرن الميكرويف و ذلك عن طريق التواصل معنا اما عبر موقعنا لصيانة
الميكروويف LG او عن طريف الاتصال
عبر التليفون على الرقم الموحد و التى تتم على جميع افران
ميكرويف LG المحلية و المستورده و نحن بحرصنا على تركيب قطع غيار اصلية نضمن تقديم خدمة بتقنية
عالية و بارخص الاسعار حيث اننا نوفر على العميل
مصاريف نقل الجهاز من و الى المراكز لآننا لا ننقل جهاز LG ابدا من منزل العميل ما
عليك سوى ان تتصل بنا نصلك اينما كنت وفى نفس اليوم و التصليح فورى مهما كان صعوبة عطل ميكرويف LG لاننا لدينا المهندسين و الفنيين القادرين على تحديد
العطل و الاصلاح بكفاءة فى اى جهاز LG كما اننا نقدر وقت العميل من حيث الوصول
اليه فى نفس اليوم و القيام بالخدمة كاملة فى منزله دون
تعطيل لذا نحن مراكز الصيانة
الاول لميكروويف LG و المتخصص
الوحيد فى تقديم ال خدمة الممتازة فى اصلاح LG ببيتك
باقل الاسعار خبراء الصيانة
المتخصصون فنيون خبراء فى مجال
عملهم اكتسبوا الخبرة اللازمة في مراكزنا مدربون على فنون الصيانة المتقدمةبشهاده خبرة وكفاءة اكفاء في عملهم ، مهندسون وفنيون لتصليح افران الميكروويف وهم
مهارة في كشف الاعطال بالاجهزة لاننا نستخدم احدث الامكانيات الموجوده بالاسواق والتكنولوجيا العاليه في مجالنا
مما يجعلنا نتميز عن غيرنا لاننا اول من عمل
فى مجال اصلاح الميكرويف فى مصر تتم الخدمة بنركيب قطع
الغيار الاصلية التى تضمن جودة مستوى الاصلاح المقدم من مركز اصلاح LG اجهزة
المنزلية و افران الميكروويف لذا نحن نعتبر المتخصصون الاوائل في مصر فقط
اتصل على علي الرقم المخصص فى خدمة عملاء ميكرويف LG مصر تجد لدينا
مفهوم الخدمة المثالبة المدعوم بقطع الغيار الاصلية و
المقدم بفريق عمل فنيين المركز المدربيت على تنفيد طلب
التصليح اللازمة لأجهزتكم المنزلية على اعلى مستوى يزيد من
التقنية العالية لميكرويف LG و يطيل العمر التشعيلى لجهاز , تحقيق ما يتمناه العميل
من كفاءة و تميز وارضاء العميل عن طريق فريق عمل من المهندسين من هم
علي درجة عاليه من المهارة ويدركوا جميع التفاصيل الفنية المدربين على الاصلاح الفورى ومعنا
الدعم الفنى من المراكز الى العميل مباشرةً من الجمعة الى الخميس طوال اليوم نصلك اينما كنت بالخدمة
الفورية المميزة و الكفاءة العالية فى اصلاح LG و باقل التكلفة مما يحقق
لك شيئا مميزا يعانى منها العملاء من سوء أختيار
" المهندس او المراكز " الغير مناسبة لتصليح ميكروويف LG نحن الاقوى ، الافضل
،المتميزون ،رقى الفنى فى التعامل
مع عملاء ميكرويف LG الاعزاء
خدمة فورية وسريعة بالمنزل بدون
ازعاج فى جميع طلبات خدمات الصيانة المنزلية
تتوفر تلك قطع الغيار مع مندوب المركز
الذى يقوم بتقديم خدمة اصلاح ميكروويف LG لعملاء المركز الكرام مما يعنى اسرع خدمة تصلك و الاصلاح فورى فى نفس اليوم و هذا لا يتحقق مطلقا فى اى مركز تصليح منافس اخر
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Tue, November 5, 2019 @ 12:15 AM

106. wrote:
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Mon, November 11, 2019 @ 12:56 AM

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