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 23-July-2006 complaining of LBP with left sciatica for 6 months with mild scoliotic stance with positive cough sign and exacerbation of his sciatica the last month. MRI done 18-July-2006 showing huge extrusion of L5-S1 disc in the left side.

On examination: SLRS right side 60 degrees, 30 degrees with pain in the left side  with absent AJ left side. Hypalgesia left S1 territory with weak dorsi and planterflexion all toes left foot.

Left L5-S1 hemiflavotomy done with foraminotomy left S1 root.  The extruded material was removed in one piece lateral to the axilla. Considering that, most of the intradiscal material came out and the narrow space of L5-S1, it was decided not to violate the disc space.


1. Since most of the disc material came out and the narrow disc space and minimal defect in the annulus fibrosis, leaving the disc space without violation logically minimize the recurrence rate.

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