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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04-MAY-2009 KAWTHAR MUHAREB AL-ALAMI 40 YEARS
EXTRUDED DISC L5-S1 LEFT SIDE.
The patient came to the
clinic 03-May-2009 with agonizing left
sciatica and LBP for 10 years with exacerbation
the last 3 months.
MRI lumbar spine performed
29-April-2009 showing extruded disc L5-S1 left
On examination: the patient
is limping with exaggerated scoliotic stance
with SLRS 70 degrees with pain both sides. The
patient is unable to move the toes left foot up
and down due to pain - 1/5. There is hypalgesia
left L5 and S1 territories.
Left partial L5-S1 flavotomy
with foraminotomy of left S1 root. The extruded
disc was removed lateral to the axilla. The was
no epidural fat at the compressed parts. The
extruded disc was removed in several pieces and
left sided cleaning of the L5-S1 disc space was
Smooth postoperative recovery
with normalization of the power of the left
The estimated recurrence rate
in this case is around 7% because the disc space
height still not shallow.
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
escaped from the plan .