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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17-NOVEMBER-2010 YOUSEF ABBAS TAYYEM 32 YEARS
HUGE EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.
came to the clinic 07-November-2010 complaining
of LBP with left sciatica for one years with
exacerbation last 6 months after RTA without
improvement. The sciatica shooting to the left
L5 root territory with numbness of the
spine performed 27-October-2010 showing
huge extruded disc L4-5 with left foraminal
examination: The patient is in agonizing
pain, limping when walking with exaggerated
scoliotic stance. There is weak dorsi and
planterflexion left foot -3/5 and hypalgesia
below the left knee.
Left L4-5 hemiflavotomy with foraminotomy left L5
root was performed. The extruded disc was
attacked lateral to the axilla and it was
removed in several pieces, after what the root
became lax. The disc space of
L4-5 was high and meticulous cleaning of the
disc space was performed from the left side. The
compressed dura and the root were lacking the
closure of the wound. Smooth postoperative
recovery and improvement of the power of left
The patient has huge
extrusion with dark gray extrusion, which will
not resolve over the time. Surgical
decompression is the only solution.
The estimated recurrence rate
is still above 7% because the disc space is
high, despite the fact meticulous cleaning was
performed from one side.
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
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