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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18-MARCH-2008 MUNA MUHAMED AL-SALEH 34 YEARS
EXTRUDED DISC L4-5 WITH SEVERE LEFT L5 ROOT COMPRESSION.
The patient came to the
clinic 16-March-2008 complaining of LBP for 5
years with intermittent course. The last 2
weeks, exacerbation of LBP with left sciatica
with left L5 territory.
MRI lumbar spine done
11-March-2008 showed extruded disc L4-5 with
compression of the left L5 root. There is
sacralization of the L5 body.
On examination: the patient
has exaggerated scoliotic stance with SLRS right
40 degrees with shooting pain to the left leg
and 20 degrees in the left. There is weak dorsi
and planterflexion left foot 4/5.
Left L4-5 hemiflavotomy with
left L5 root foraminotomy was performed. The
epidural fat was missing at the compressed
areas. The root was shifted medially and the
extruded disc material was removed in several
pieces. Cleaning of the disc space was performed
from the left side.
Routine closure of the wound
with smooth postoperative recovery.
The power of the left foot
returned to normal.
The height of the disc space
is relatively medium to small, which make the
expected recurrence rate less than 7%.