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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
23-JULY-2011 RASHED SAMI KHLEFAT 19 YEARS
HUGE EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.
Anamnesis
The
patient came to the clinic 18-July-2011
complaining of LBP for 5 months with left
sciatica and occasional numbness all toes left
foot and positive cough sign.
MRI
lumbar
spine done 17-May-2011 showing huge extruded
disc L4-5 with left downward migration.
On
examination: the patient was limping with
scoliotic stance and
weak dorsiflexion left foot -4/5 and
planterflexion 4/5. SLRS was 35 degrees in the
right shooting to the left and 85 degrees
in the left with
more pain.
Left L5 foraminotomy was done
and partial flavotomy L4-5. The extruded disc
was shifting the root medially. The extruded
disc was removed lateral to the axilla and
meticulous intradiscal cleaning was achieved
from the left. The root became lax, but without
epidural fat.
Routine
closure of the wound. Smooth postoperative
recovery with normalization of the power of the
left foot with disappearance of left
sciatica.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
connection.
Comments
The estimated postoperative recurrence rate is
around 7% because the disc space of L4-5 is
still not shallow.
Notice: Not all operative activities
can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also
escaped from the plan .
