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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25-AUGUST-2009 MUHAMED AHMAD ANABTAWI 57 YEARS
HUGE EXTRUDED DISC L4-5 WITH MIGRATION POSTERIOR TO THE DURAL SAC FROM THE
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The patient came to
Al-Shmaisani hospital 23-August-2009 complaining
of LBP with bilateral sciatica and weak both
feet and numbness both feet.
MRI of the lumbar spine
performed 19-August-2009 showing huge extruded
disc L4-5 with migration posterior to the dural
sac from the right.
On examination: the patient
is limping with scoliotic stance with SLRS 60
degrees both sides and weak dorsi and
planterflexion both feet 4/5.
Using image-intensifier, the
extruded disc was removed directly fro under the
removed ligamentum flavum . It was very huge and
extending to the right. Bilateral cleaning of
the disc space of L4-5 and insertion of PEEK
Satellite nucleus replacement sphere number 15
was inserted. Several image-intensifier controls
Routine closure of the
wound and smooth
and the power of both
The recurrence in this case
is ranking high, for what nucleus replacement
sphere was applied to decrease the recurrence.
It is the second case in this
month that the extruded material migrate
posteriorly behind the dural sac, which is very
Notice: Not all operative activities
can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also
escaped from the plan .