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 complaining of agonizing left
sciatica for 1 week with inability to stand and walk and sleep. On
examination, the patient had almost drop left foot with weak
planterflexion of the same foot with hypalgesia of the left L5 and
S1 dermatomes. MRI of the lumbar spine performed 1 day before
showing huge extrusion of the L4-5 disc with left downward
The patient was operated: Left L5 foraminotomy with left
hemiflavotomy L4-5 with removal of the extrusion was performed.
Inspection of the hole, through which the disc material came out was
successful and through the same hole minimal cleaning of the L4-5
disc space was done. All attempts were directed to preserve the
epidural fat, were it was missing at the compression site. Routine
closure of the wound.
The power of the left foot normalized immediately after surgery.