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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The relatives of the patient came to the
clinic 07-October-2009 claiming that she is a
known diabetic, complaining of LBP with left sciatica for
3 weeks. MRI lumbar spine
performed 03-)ctober-2009 showing huge extruded
disc L5-S1 with left downward migration.
The patient was admitted to
Shmaisani hospital 14-October-2009 with with
agonizing pain and weak dorsi and planterflexion
left foot 3/5 with hypalgesia left L5 and S1
roots territories. SLRS was 5 degrees in the
left with shooting pain. The patient was unable
to stand for evaluating the scoliotic stance.
Skeletonization of L5 lamina
was performed. It was flail without isthmolysis.
The ligamentum flavum was preserved and
reflected to the right. Foraminotomy of left S1
root was achieved. The upward and far-lateral
extrusion was removed and meticulous cleaning of
L5-S1 disc space was achieved from the left.
Further inspection of the flail lamina showed
that it is movable in the facet joint, for what
it was decided to leave it as it is.
Routine closure of the
wound and smooth
and the power of the
feet normalized and the patient sent to
From the MRI data it is hard
to predict the flail lamina, and it was found
The importance of such
finding will be clear several months after the
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 .