Surgical group is like a football team.

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.tv

The patient came to the clinic 20-July-2006 complaining of LBP with right sciatica for 1 month with scoliotic stance. The patient is limping for 12 days with SLRS 60 degrees in the right , hypalgesia right L5 root and almost drop right foot. MRI performed 17-July-2006 showing a huge extrusion of L4-5 disc with back and downward migration.

Right L4-5 hemiflavotomy was performed and foraminotomy of right L5 root was achieved. All the disc material was removed from under the axilla, after what the laterally pushed nerve regained relaxed appearance. The annulus fibrosis was inspected and there was no tear or defect in the annulus, for what it was decided not to violate the intradiscal space.


1. The slippage mostly took place from the inferior border of the annulus in the right side. Time will answer if this strategy is logic to minimize the recurrence rate.

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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved