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
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01-JANUARY-2012 AMNEH HUSSEIN AL-KOOZ 55 YEARS
SPONDYLOLISTHESIS L4-5, L5-S1 WITH SEVERE STENOSIS L4-5 AND LEFT FORAMINAL
patient came to the clinic 19-December-2011
complaining of left hip for 3 months down to the
left knee. The patient is a known diabetic for 5
years with arterial hypertension for the same
examination, the patient is limping with
exaggerated scoliotic stance. There is weak
dorsi and planterflexion left foot 3/5 with weak
dorsiflexion right foot 4/5 with hypalgesia left
foreleg below knee. SLRS was 90 degrees in the
right without pain and 40 degrees in the left
patient was sent for MRI of the
lumbar spine, which were done 21-December-2011
showing severe stenosis at L4-5 with left
foraminal extrusion of L4-5 disc and
spondylolisthesis L4-5 I degrees by
Myerding and mild spondylolisthesis L5-S1.
Decompressive laminectomy L4
and partial of L3 and L5. The left far-lateral
extrusion was removed and left sided cleaning of
the disc space was achieved. At all stages of
surgery, check for instability was performed and
the L4-5 and L5-S1 were stable. There was slight
overmobility of L3-4, but considering its
non-relevance, it was omitted from calculations.
closure of the wounds. Smooth postoperative
recovery with improvement of the power of the
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The patient had spondylolisthesis, for what
transpedicular fixation was considered before
surgery. Intraoperative findings ruled out the
necessity for stabilizing procedures.
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 .