www.neurosurgery.tv 
 
Munir Elias 20-12-2013
Surgical group is like a football team.

 
Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.tv

 
The patient came to the clinic 20-July-2006 complaining of LBP with left sciatica for 1 year with mild scoliotic stance. Exacerbation of sciatica the last 2 weeks. MRI lumbar spine done 15-July-2006 showing PLD L4-5 with extrusion and left downward migration.

On examination: SLRS was 45 degrees in the right and 40 degrees in the left. He had weak dorsiflexion all toes left foot.

Left L4-5 hemiflavotomy with left L5 foraminotomy was performed. The extrusion was removed lateral to the axilla and meticulous cleaning of the disc space was performed from the left side, because the defect in the annulus fibrosis was wide. The downward migrated fragment was removed in one piece after inspection of the root.

Prompt postoperative recovery.

Comments:

1. Since the defect in the annulus fibrosis was wide, it was necessary to perform meticulous cleaning of the disc space, to decrease the recurrence.


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Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

Leica HM500

Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

LooksCam II in the run.
LooksCam II in the run  starting from  14-March-2020

 

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