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
The patient was operated by me 7 months ago at
17-September-2005. The last month, he
started to complain of the same left sciatica, for what he performed
MRI of the lumbar spine and confirmed recurrence at the same level.
On examination, the patient had weak dorsi and planterflexion left
foot and left sciatica.
The patient was operated and through left side, the massive
adhesions were removed to identify the left S1 and S2 roots. The
extrusion was removed lateral to the axilla of the left S1 root,
which was severely deformed and involved with adhesions. The disc
space was empty.
1. Reviewing the first operation, it was noticed, that the disc was
adherent to the extrusion, and so as to remove it as much as
possible, it was necessary to make a wide hole in the annulus
fibrosis, which could explain the recurrence in such early stage.