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 came to the clinic 19-March-2006 complaining of LBP for
4 years with left sciatica. Exacerbation of her complains the last 3
months with numbness of the entire left foot. On examination,
the patient had scoliotic stance with hypalgesia of the left L5 and
S1 dermatomes with weak dorsi and planterflexion all toes left foot.
MRI of the lumbar spine performed and showed extruded disc L5-S1
with left downward migration.
The patient was operated; left S1
foraminotomy with left L5-S1 hemiflavotomy was performed and the
extruded disc removed. Inspection of the axilla showed moderate
compression from behind, for what further cleaning of the disc
material and beveling of the elevated annulus fibrosis was
The power of the left foot normalized immediately after surgery.