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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
03-MAY-2008 NADIRAH TAWFEEQ AL-SAYED 64 YEARS
LCS L4-5 WITH EXTRUDED DISC L4-5 MORE TO THE LEFT.
The patient came to the
clinic 22-January-2007 complaining of LBP with
left sciatica for three years. Exacerbation the
last five months. MRI of lumbar spine done
23-December-2006 showed extruded disc L4-5 more
to the left with segmental stenosis at the same
level. The patient could walk more than 100
meters with SLRS 70 degrees both sides and weak
dorsiflexion both feet 4/5. The patient was
The patient then came
30-April-2008 with gross deterioration the last
2 weeks. SLRS was 60 degrees in the right and 40
degrees in the left with weak dorsiflexion right
foot 4/5 and left foot 3/5 and inability to walk
without aid and severe scoliotic stance.
MRI performed 02-May-2008
showed severe lumbar canal stenosis L4-5 with
extruded disc L4-5 more to the left with total
CSF occlusion in MRMyelography.
Decompressive laminectomy of
L4 and foraminotomy of left L5 root was
performed. Bilateral inspection of the disc of
L4-5 was performed and the extruded disc L4-5
was removed from the left side lateral to the
axilla and meticulous cleaning of the disc space
Routine closure of the wound
with smooth postoperative recovery.
Considerable improvement of
the power of the left foot.
Lumbar canal stenosis is a
progressive disease and surgery must be
performed the sooner the better, if the clinical
manifestations are escalating.
Lumbar canal stenosis is not
a cause for radicular pan, and the cause must be
found and resolve, as in this case the extruded
disc material, which was compressing the left L5
Please! wait for 3-5 min till the
video start to load. It depends upon the internet