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 07-February-2004 for PLD L4-5
with right downward migration. The patient improved, then came
09-January-2006 complaining of right hip pain for the last three
weeks. The patient neurological status was normal with SLRS 85
degrees both sides. She was able to walk freely, but having
difficulty in setting.
The patient was sent for check MRI, which revealed huge
recurrence at the same level and the same side. The patient claimed
that, she is improving and refused surgery at that time. The
patient, then urged for surgery 03-March-2006 and she was operated
the next day.
The extrusion was far posterior projecting under the right
axilla, from where it was removed in one piece. Inspection of the
disc space showed an empty space. No attempt was made to widen the
defect in the annulus fibrosis.