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 neurosurgery.fr
An Iraqi patient came with intermittent claudication and inability to walk more than 100 meter of stand for 5 min with bilateral drop feet for several months. MRI done (bad quality) showing complete stenosis at L4-5. The patient underwent complete laminectomy L4 with bilateral L5 foraminotomy. Despite the roots were free, but remained stretched over the moderately bulge and mobile disc L4-5. Considering these facts, discectomy L4-5 with bilateral cleaning was done to achieve total decompression of the L5 roots.