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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
14-NOVEMBER-2010 AREF DEYF-ALLAH ABU-JAMOUS 51
YEARS HUGE RECURRENT PLD L4-5 WITH RIGHT DOWNWARD MIGRATION.
was admitted to Shmaisani hospital
12-November-2010 with severe agonizing right
sciatica for 2 days. The patient was operated by
me 24-November-2004 for huge extruded disc L4-5
spine performed 13-November-2010 showing
huge recurrent PLD L4-5 with right downward
examination: The patient is in agonizing
pain, that cannot find a position in the bed to
decrease his pain. There is weak dorsi and
planterflexion right foot 3/5 and hypalgesia
right L5 and S1 roots territories.
Right L4-5 scarolysis with foraminotomy right L5
root was performed. The extruded disc was
attacked lateral to the axilla and it was
removed in 2 big pieces, after what the root
became lax, but with scars. The disc space of
L4-5 was shallow and empty.
closure of the wound. Smooth postoperative
recovery and improvement of the power of right
The patient has
new extrusion with severe compression upon the
right L5 root, which is so big, that the patient
in agonizing pain.
Surgery is the only solution to such situation.
The estimated recurrence rate
is below 7% because the disc space is
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
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 .