LONDON: A Jordanian teen received a new spine made of rope in a pioneering operation in Dubai, making her the first recipient of the surgery in the Middle East and North Africa region.
Salma Naser Nawayseh, 13, underwent vertebral body tethering (VBT) surgery last week, in which a piece of rope was run down the entire length of her spine.
Screws are then inserted into each section of the spine to assist in producing the proper tension on the rope and correcting the curve.
VBT is currently practiced in only a few countries, including the US, France, and Germany, but this is the first time the surgery has been carried out in the MENA region.
Salma is already making a remarkable recovery following her operation at Dubai’s Burjeel Hospital. She is not only back to walking, but she also plans to return to tennis soon.
In April 2022, Salma’s parents first noticed the curve in her spine, and she was later diagnosed with scoliosis — a spine condition characterized by an abnormal lateral curve.
Although it can appear in infancy or early childhood, the primary age of onset for scoliosis is between the ages of 10-15 years.
While most cases are mild and do not require invasive treatment, untreated moderate to severe scoliosis can cause pain, increased deformity, and potential heart and lung problems.
Salma presented to Dr. Firas Husban, a consultant orthopedic surgeon at Burjeel Hospital, with a thoracolumbar curve of 65 degrees.Her condition caused back deformity with trunk shortening, a lower back hump, an unleveled pelvis, and back pain.
“Adolescent idiopathic scoliosis is the most common type and is usually diagnosed during puberty” Dr. Husban said.
“The three treatment options for such patients are observation, bracing, or surgery. While bracing is an option in patients with mild forms of scoliosis, in Salma’s case, she required surgery to correct the deformity.” he added.
In 2019, the USFDA approved VBT; a minimally invasive technique that allows for continued growth without fusion while preserving motion and flexibility.
The new treatment allows for fusionless spine correction, allowing the patient to regain full range of motion and grow further. Other benefits include less visible incisions, less trauma, fewer complications, and faster healing.Despite being a newer treatment, the cost of VBT is comparable to other scoliosis treatments.
Not every patient with scoliosis is a candidate for VBT. It would ideally be performed on children over the age of nine and who are still growing.
Furthermore, the procedure is most effective in patients with a 45 to 65 degree curve.
Doctors said Salma was the “perfect candidate” for the procedure because she had not yet reached full skeletal maturity.
Dr. Husban said: “As opposed to spinal surgeries that involve cutting into the back and manipulating the spinal cord and nerve roots, in this surgery, we make discreet incisions in the abdomen through the endoscope.
“Because VBT is minimally invasive, there is little trauma to the delicate tissues of your back. As a result, there is less blood loss, less postoperative pain and speedier recovery time compared to the spinal fusion surgery.” Dr. Husban said Salma’s spinal curve will continue to improve, and the tether will guide the growth of the spine as the body grows.
“The patient is recovering well after the surgery. After two weeks, Salma can go back to school. Four weeks later she can return to full activity with no restrictions and can start playing sports,” he also said.
Salma’s parents are thrilled at the outcome.
“She started walking the second day after surgery. We are happy that our daughter was eligible for this surgery. We look forward to our daughter holding the racket again and resuming tennis.” they said in a statement released by the hospital.
Trucks passed from Israel through the Kerem Shalom goods crossing to southern Gaza
Updated 11 sec ago
RAFAH, Palestinian Territories: Fuel trucks entered Gaza on Monday as an Egypt-brokered truce between Israel and Islamic Jihad militants in the Palestinian enclave held, an AFP journalist at the crossing said. The trucks passed from Israel through the Kerem Shalom goods crossing to southern Gaza, the journalist said, hours after a cease-fire deal came into effect ending three days of deadly conflict.
Iran: Police arrest Afghan suspected of stabbing 10 to death
According to the report, the suspect was mentally unbalanced
Violent acts have escalated in recent years in Iran as the country’s economic conditions deteriorate
Updated 55 min 23 sec ago
TEHRAN: Police in Iran arrested an Afghan man suspected of stabbing 10 other farm laborers to death following a quarrel over land, Iranian state media reported Monday. The rampage in a remote village in southeastern Iran was a rare such incident in the Islamic Republic.
The official IRNA news agency said four Iranians and six Afghans were killed, and one farm worker was wounded in the rampage on Sunday and was in hospital. According to the report, the suspect was mentally unbalanced.
A decades-long drought in Iran has caused increased disputes over water resources and land with better access to water. Hunting rifles are the only weapon that Iranians are allowed to possess legally.
Violent acts have escalated in recent years in Iran as the country’s economic conditions deteriorate amid crushing American sanctions that helped spark soaring inflation and increasing unemployment.
In May, an employee fired from one of Iran’s largest state-owned financial conglomerates went on a shooting rampage at his former workplace in western Iran, killing three people and wounding five before turning the gun on himself.
In 2016, a 26-year-old man gunned down 10 relatives and wounded four others.
Negotiators optimistic about progress on Iran nuclear deal
Negotiators from Iran, the US and the European Union resumed indirect talks over Tehran’s tattered nuclear deal Thursday after a months-long standstill in negotiations
Updated 08 August 2022
VIENNA: Top negotiators in renewed talks to revive the 2015 Iran nuclear deal indicated Sunday that they are optimistic about the possibility of reaching an agreement to impose limits on Tehran’s uranium enrichment.
“We stand 5 minutes or 5 seconds from the finish line,” Russian Ambassador Mikhail Ulyanov told reporters outside Vienna’s Palais Coburg, four days into the talks. He said there are “3 or 4 issues” left to be resolved.
“They are sensitive, especially for Iranians and Americans,” Ulyanov said. “I cannot guarantee, but the impression is that we are moving in the right direction.”
Enrique Mora, the European Union’s top negotiator, also said he is “absolutely” optimistic about the talks’ progress so far.
“We are advancing, and I expect we will close the negotiations soon,” he told Iranian media.
Negotiators from Iran, the US and the European Union resumed indirect talks over Tehran’s tattered nuclear deal Thursday after a months-long standstill in negotiations.
Since the deal’s de facto collapse, Iran has been running advanced centrifuges and rapidly growing its stockpile of enriched uranium.
Iran struck the nuclear deal in 2015 with the US, France, Germany, Britain, Russia and China. The deal saw Iran agree to limit its enrichment of uranium under the watch of UN inspectors in exchange for the lifting of economic sanctions.
Then US President Donald Trump unilaterally pulled the US out of the accord in 2018, saying he would negotiate a stronger deal, but that didn’t happen. Iran began breaking the deal’s terms a year later.
‘Fragile’ Gaza truce between Israel and Islamic Jihad holds
The Egyptian-brokered cease-fire took effect at 11:30 p.m. (2030 GMT; 4:30 p.m. EDT)
Israeli aircraft have pummeled targets in Gaza since Friday, while the Iran-backed Palestinian Jihad militant group has fired hundreds of rockets at Israel in response
Updated 08 August 2022
GAZA CITY: A “fragile” Egypt-brokered truce between Israel and Islamic Jihad militants in Gaza appeared to be holding early Monday, raising hopes that the recent intense conflict that has left at least 44 Palestinians dead, including 15 children, has ended.
The truce, which officially started at 11:30 p.m. (2030 GMT) Sunday night, aims to stem the worst fighting in Gaza since an 11-day war last year devastated the Palestinian coastal territory.
Though a flurry of strikes and rocket attacks took place in the run-up to the truce, with sirens sounding in southern Israel moments before and after the deadline, neither side had reported any major violations of the agreement after four hours.
In a statement sent three minutes after the cease-fire began, Israel’s army said that “in response to rockets fired toward Israeli territory, the (military) is currently striking a wide range of targets” belonging to Islamic Jihad in Gaza.
In a subsequent statement, the army clarified that its “last” strikes took place at 11:25 pm.
While both sides had agreed to the truce, each had warned the other that it would respond with force to any violence.
US President Joe Biden welcomed the cease-fire, thanking Egyptian President Abdel Fattah El-Sisi for his country’s role in brokering it. Biden also called for investigations into civilian casualties, which he called a “tragedy.”
In a statement, UN Middle East peace envoy Tor Wennesland said: “The situation is still very fragile, and I urge all parties to observe the cease-fire.”
US President Joe Biden said he welcomed the cease-fire between Israel and Gaza-based militants.
“Over these last 72-hours, the United States has worked with officials from Israel, the Palestinian Authority, Egypt, Qatar, Jordan, and others throughout the region to encourage a swift resolution to the conflict,” he said in a statement.
The UN Security Council scheduled an emergency meeting for Monday on the violence. China, which holds the council presidency this month, scheduled the session in response to a request from the United Arab Emirates, which represents Arab nations on the council, as well as China, France, Ireland and Norway.
“We underscore our commitment to do all we can toward ending the ongoing escalation, ensuring the safety and security of the civilian population, and following-up on the Palestinian prisoners file,” said UN Special Coordinator for the Middle East Peace Process, Tor Wennesland, in a statement.
Israeli Prime Minister Yair Lapid’s office late Sunday thanked “Egypt for its efforts” as it agreed to the truce, but said it that “if the cease-fire is violated,” Israel “maintains the right to respond strongly.”
Islamic Jihad member Mohammad Al-Hindi had already confirmed the militants had accepted the truce, but the group added in a statement that it too “reserves the right to respond” to any aggression.
Israeli aircraft have pummeled targets in Gaza since Friday, while the Iran-backed Palestinian Jihad militant group has fired hundreds of rockets at Israel in response. The risk of the cross-border fighting turning into a full-fledged war remained as long as no truce was reached. Israel says some of the dead were killed by misfired rockets.
In addition to the 44 people killed, 15 of them children, the Gaza health ministry said 360 people had been wounded in the Palestinian enclave, which is run by the Islamist group Hamas.
Israel insists several children in the territory have been killed by stray militant rockets.
Three people in Israel have been wounded by shrapnel, while 31 others have been lightly hurt, emergency services said.
Islamic Jihad’s Hindi said the cease-fire deal “contains Egypt’s commitment to work toward the release of two prisoners.”
The pair were named as Bassem Al-Saadi, a senior figure in the group’s political wing who was recently arrested in the occupied West Bank, and Khalil Awawdeh, a militant also in Israeli detention.
Gaza’s ruling Hamas group remained on the sidelines, possibly because it fears Israeli reprisals and undoing economic understandings with Israel, including Israeli work permits for thousands of Gaza residents, that bolster its control.
Israel launched its operation with a strike Friday on a leader of the Islamic Jihad, and followed up on Saturday with another targeted strike on a second prominent leader.
The second Islamic Jihad commander, Khaled Mansour, was killed in an airstrike on an apartment building in the Rafah refugee camp in southern Gaza late Saturday, which also killed two other militants and five civilians.
Mansour, the Islamic Jihad commander for southern Gaza, was in the apartment of a member of the group when the missile struck, flattening the three-story building and badly damaging nearby houses.
“Suddenly, without warning, the house next to us was bombed and everything became black and dusty with smoke in the blink of an eye,” said Wissam Jouda, who lives next to the targeted building.
Ahmed Al-Qaissi, another neighbor, said his wife and son were among the wounded, suffering shrapnel injuries. To make way for rescue workers, Al-Qaissi agreed to have part of his house demolished.
As a funeral for Mansour began in the Gaza Strip on Sunday, the Israeli military said it was striking suspected “Islamic Jihad rocket launch posts.” Smoke could be seen from the strikes as thumps from their explosions rattled Gaza. Israeli airstrikes and rocket fire followed for hours as sirens wailed in central Israel. As the sunset call to prayer sounded in Gaza, sirens wailed as far north as Tel Aviv.
Israel says some of the deaths during this round were caused by errant rocket fire, including one incident in the Jebaliya refugee camp in northern Gaza in which six Palestinians were killed Saturday. On Sunday, a projectile hit a home in the same area of Jebaliya, killing two men. Palestinians held Israel responsible, while Israel said it was investigating whether the area was struck by an errant rocket.
Israel’s Defense Ministry said mortars fired from Gaza hit the Erez border crossing into Israel, used by thousands of Gazans daily. The mortars damaged the roof and shrapnel hit the hall’s entrance, the ministry said. The crossing has been closed amid the fighting.
The Rafah strike was the deadliest so far in the current round of fighting, which was initiated by Israel on Friday with the targeted killing of Islamic Jihad’s commander for northern Gaza.
Israel said it took action against the militant group because of concrete threats of an imminent attack, but has not provided details. Caretaker Prime Minister Yair Lapid, who is an experienced diplomat but untested in overseeing a war, unleashed the offensive less than three months before a general election in which he is campaigning to keep the job.
In a statement Sunday, Lapid said the military would continue to strike targets in Gaza “in a pinpoint and responsible way in order to reduce to a minimum the harm to noncombatants.” Lapid said the strike that killed Mansour was “an extraordinary achievement.”
“The operation will continue as long as necessary,” Lapid said.
Israel estimates its airstrikes killed about 15 militants.
Islamic Jihad has fewer fighters and supporters than Hamas, and little is known about its arsenal. Both groups call for Israel’s destruction, but have different priorities, with Hamas constrained by the demands of governing.
The Israeli army said militants in Gaza fired about 580 rockets toward Israel. The army said its air defenses had intercepted many of them, with two of those shot down being fired toward Jerusalem. Islamic Jihad has fewer fighters and supporters than Hamas.
Air raid sirens sounded in the Jerusalem area for the first time Sunday since last year’s Israel-Hamas war.
Jerusalem is typically a flashpoint during periods of cross-border fighting between Israel and Gaza. On Sunday, hundreds of Jews, including firebrand ultra-nationalist lawmaker Itamar Ben Gvir, visited a sensitive holy site in Jerusalem, known to Jews as the Temple Mount and to Muslims as the Noble Sanctuary. The visit, under heavy police protection, ended without incident, police said.
Such demonstrative visits by Israeli hard-liners seeking to underscore Israeli claims of sovereignty over contested Jerusalem have sparked violence in the past. The holy site sits on the fault line of the Israeli-Palestinian conflict and is central to rival narratives of Palestinians and Israeli Jews.
In Palestinian cities and towns in the West Bank, Israeli security forces said they detained 19 people on suspicion of belonging to the Islamic Jihad during overnight raids.
By Sunday, Hamas still appeared to stay out of the battle. The group has a strong incentive to avoid another war. Last year’s Israel-Hamas war, one of four major conflicts and several smaller battles over the last 15 years, exacted a staggering toll on the impoverished territory’s 2.3 million Palestinian residents.
Since the last war, Israel and Hamas have reached tacit understandings based on trading calm for work permits and a slight easing of the border blockade imposed by Israel and Egypt when Hamas overran the territory 15 years ago. Israel has issued 12,000 work permits to Gaza laborers, and has held out the prospect of granting another 2,000 permits.
The lone power plant in Gaza ground to a halt at noon Saturday due to lack of fuel. Israel has kept its crossing points into Gaza closed since Tuesday. With the new disruption, Gazans can use only four hours of electricity a day, increasing their reliance on private generators and deepening the territory’s chronic power crisis amid peak summer heat.
Battles between Israel and Palestinian groups trap Gaza in a recurring nightmare
Humanitarian situation worsened and civilian toll rose as Israeli military targeted Palestinian Islamic Jihad
Israel claimed militants in Gaza were planning attacks in retaliation for arrest of a PIJ official in the West Bank
Updated 39 min 13 sec ago
DUBAI: What began as a routine Israeli security operation on Aug. 1 in a flashpoint Palestinian town in the West Bank quickly took on the trappings of a full-blown conflict. As of Sunday night, the death toll on the Palestinian side stood at 43, including 15 children, with an Egyptian-brokered truce agreement providing a glimmer of hope to the Gaza Strip’s war-weary population.
The target of the Israeli military’s “Operation Breaking Dawn” was the Palestinian Islamic Jihad group, which is backed by Iran and has its headquarters in the Syrian capital Damascus. But the idea of a “quick, clean war,” with minimal civilian suffering and confined to just the Gaza Strip, could yet elude Israel if the ceasefire deal falls through.
During a recent visit to Tehran to meet the Iranian leadership, Ziad Al-Nakhalah, the PIJ general-secretary, warned that all Israeli towns — including Tel Aviv — could be struck by rockets and urged other Palestinian factions to join forces. For days, Israeli media had been showing images of the skies above the southern and central parts of the country lighting up with rockets and interceptors from the Iron Dome missile defense system.
Predictably, parallels were being drawn between the current flare-up and the 11-day conflict in May 2021 that left more than 200 Palestinians and a dozen Israelis dead. The big difference this time was that Hamas, the Palestinian group which controls Gaza, did not jump into the fray, a move that cannot be ruled out if the truce fails to hold and civilian casualties continue to mount.
As is invariably the case when Israel launches an assault on Palestinian militant groups, ordinary residents of Gaza neighborhoods in the military’s crosshairs pay the biggest price. Images of half-destroyed buildings and damaged possessions of impoverished civilians starkly contradicted the official Israeli narrative of “a pre-emptive counterterror operation against an immediate threat” posed by the PIJ.
On Saturday, flames poured out of a building in Gaza City after an Israeli airstrike while wounded Palestinians were evacuated by medics. Gaza’s Health Ministry reported that “a five-year-old girl, targeted by the Israeli occupation” was among those killed. “This is not Ukraine! This is #Gaza Strip yesterday!” tweeted Jasika, a Palestinian, along with four photos of destruction under the hashtag #GazaUnderAttack.
Abdullah Al-Arayshi summed up the collective plight of Palestinians in Gaza when he told the AFP news agency: “The country is ravaged. We’ve had enough of wars. Our generation has lost its future.” The reference was to the many wars and battles Israel and Hamas have fought since 2007 and which have imposed a staggering cost on Gaza’s 2 million Palestinian residents.
Egypt, whose mediation has helped to end many Gaza flare-ups in the past, once again stepped in, reportedly sending a delegation of officials to Israel to act as a go-between. The PIJ leadership may not have been in the mood to negotiate, but its options were limited.
On Saturday, the group lost a second senior commander, Khaled Mansour, in an Israeli military strike on a house in the Rafah refugee camp in southern Gaza. The previous day, the PIJ had acknowledged the death of senior leader Taysir Al-Jabari in an airstrike on a building in the west of Gaza City.
The killing of Al-Jabari’s predecessor, Baha Abu Al-Ata, in Gaza by the Israeli military in 2019 sparked a five-day conflict that left 34 Palestinians, including many PIJ fighters, dead and 111 injured. Then, as now, Israel claimed that the PIJ was plotting an imminent attack.
This time around, Israel said that PIJ militants in Gaza were planning to hit southern Israel in retaliation for the arrest on Aug. 1 of Bassem Al-Saadi, a senior member of the PIJ’s political wing in the West Bank, during a security operation in Jenin. Al-Saadi had been living there since February 2013, when he was released from an Israel jail after serving two years.
Jenin has been a frequent target of Israeli arrest operations in the West Bank since a wave of deadly attacks by Palestinians hit Israel in late March as two of the attackers came from the town.
“It seems that Israel acted on intelligence reports that the PIJ was about to launch a number of attacks against Israel and Israel decided to take the initiative in this case to deliver a big blow to the PIJ,” Meir Javedanfar, a lecturer and Middle East analyst at Reichman University, told Arab News.
“Based on this thesis, it was difficult for Israel to avoid this action. If you know your enemy is going to attack, then you take away the initiative from it, and that really turns the tables on your enemy.”
Israel’s rationale, though, failed to convince not only Palestinian civilians in the line of fire but also critics of the military doctrine of pre-emptive force, including the UN special rapporteur on the occupied Palestinian territories.
In a tweet on Saturday, Francesca Albanese said: “I condemn Israel’s airstrikes in Gaza to allegedly ‘deter’ Islamic Jihad’s possible retaliation for its leader’s arrest. As Intl’ Law only permits the use of force in self-defense, Operation Breaking Dawn is a flagrant act of aggression. Illegal. Immoral. Irresponsible.”
In addition to the diplomatic backlash, Israel’s government, led by Yair Lapid, a politician with no military record or experience in senior security posts, would sooner or later have had to contend with the deteriorating humanitarian situation in Gaza.
There has been almost no reconstruction in Gaza since the May 2021 war, and the population remains mired in poverty, with unemployment hovering around 50 percent. Israel has closed its crossing with the territory and, on Saturday, reports said the only power station there shut down after Israel called off an expected fuel delivery.
Yahya Al-Sarraj, the mayor of Gaza City, said on Sunday that municipal services were being affected by the lack of power. “This will minimize the supply of domestic water (at a time of peak consumption during July and August),” he said. “Raw sewage will be spilled to the sea because the plants are not functioning in full capacity.”
Unsurprisingly, the potential of a propaganda coup was not lost on the PIJ’s patrons in Tehran. President Ebrahim Raisi was quoted by Iran’s Fars News agency as saying that “the resistance of the people of Gaza will speed up the decline of this child-killing (Zionist) regime.”
Separately, in remarks reported by Iranian state television on Saturday, Gen. Hossein Salami, head of the Islamic Revolutionary Guard Corps, said: “The Israelis will pay yet another heavy price for their recent crime.”
Earlier, Iran’s Tasnim news agency quoted Salami as saying: “In Lebanon, tens of thousands, even more than one hundred thousand missiles, are ready to be fired to create a hell for the Zionists at the moment of making the divine predestination happen.”
Javedanfar considers the PIJ-Iranian nexus a probable second reason for Israel’s decision to crack down on the group. “Given that the Israeli attacks happened when the head of the PIJ was in Tehran, the Iranian context of the current operation cannot be overlooked,” he told Arab News.
“The PIJ is an Iranian proxy, much more an Iranian proxy than Hamas, and is more dependent on Iran than Hamas. Israel does not want to let Iran dictate the rules of the game through its proxy in Gaza. I think Israel is trying to disarm Iran’s options for undermining Israeli security in both Gaza and Syria.”
Lapid, the Israeli prime minister, had averred that “Israel isn’t interested in a broader conflict in Gaza but will not shy away from one either.” A broader conflict was sure to expose Israel to not just higher civilian casualties but also greater political heat, including potentially from the Arab signatories of the Abraham Accords.
In the best-care scenario for Israel, the PIJ’s military wing would have been decapitated, the civilian death toll in Gaza would have stayed low, and the diplomatic storm would have passed quickly. But given the dark shadow that the Palestinian conflict continues to cast over the Arab-Israeli alignments reshaping Middle East geopolitics, Israel could still have ended up winning the battle yet losing the war.
Druze: the great survivors
How the world's most secretive faithhas endured for a thousand years