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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admitted to Shmaisani hospital with sudden onset
LBP for 1 week and agonizing left sciatica with
disappearance of the sciatica replaced by flail
MRI Lumbar spine
performed 02-April-2010 showing huge extruded
disc L3-4 central more to the left obstructing
the spinal canal completely.
On examination: the
patient is in bed with flail left foot
and severe weak right foot and analgesia of the
left leg below the knee level.
MRI of the dorsal
spine performed 03-April-2010 showing
tiny disc at D8-9.
Before the surgery
in reexamination: the patient showing bilateral
Using image-intensifier the
L3-4 level was identified and bilateral
flavotomy of L3-4 was achieved. The extruded
huge disc was removed from the left side in one
big piece. Left sided cleaning of the disc space
was performed meticulously.
Routine closure of the wound.
recovery, with very slight improvement of the
movement of the right foot.
The roots were severely
damaged by the big extrusion. Recovery will take
time to have full recovery. The right foot
mostly will recover earlier than the left.
PLD usually take place at
L4-5 and L5-S1 level. It is more rare to have
PLD L2-3 of L3-4. The surprising situation, that
during one moth 3 cases were operated with
similar data. To see the other cases click
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 .