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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11-MAY-2011 MAJIDA ABDEL-RAHMAN ABU-HALAWEH 64
YEARS HUGE EXTRUDED DISC L3-4 MORE TO THE LEFT WITH SECONDARY CANAL
patient came to the clinic 04-May-2011
complaining of LBP for 6 years with both knees
pain for 4 months more the left. The patient
performed MRI lumbar spine 23-March-2011 bad
quality, showing extruded disc L3-4 with severe
lumbar canal stenosis at this level.
examination: the patient using crutches for 2
weeks and limping with exaggerated scoliotic
stance. She had mild osteoarthritic changes both
knees. She had weak dorsiflexion
both feet -4/5 and planterflexion left foot 4/5.
Decompressive laminectomy L3 and partial of L2
and L4 was
done. Bilateral foraminotomy both L4 roots. All
the compressive elements were eliminated. There
was no epidural fat in the area. The extruded
disc of L3-4 was removed from the left side
lateral to the axilla. Bilateral cleaning of the
L3-4 disc space was done.
closure of the wound. Smooth postoperative
recovery with improvement of the power of left
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The disc extrusion was so big, resulting in
segmental stenosis. All the compressive elements
must be resolved surgically to achieve maximal
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 .