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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
28-JANUARY-2008 MANSOUR MUHAMED ABU-ZER 36 YEARS HUGE
EXTRUDED DISC L3-4 WITH RIGHT UPWARD MIGRATION AND FAR-LATERAL EXTRUSION.
The patient came to the
clinic 27-January-2008 with agonizing right
sciatica and LBP for 10 days with positive cough
sign. He is using crutches for ambulation and
unable to sleep due to pain.
MRI performed 26-January-2008
showing bulge L4-5 and dehydration of D12-L1
with huge extrusion of L3-4 with right upward
migration and right far-lateral disc occluding
On examination: the patient
is limping and has scoliotic stance. SLRS was 25
degrees in the right and 45 degrees in the left
with radiating pain to the right leg. The
patient had weak dorsiflexion right foot and
weak quadriceps femoris right.
Using image-intensifier, the
level was identified and right L3-4
hemiflavotomy with partial right hemilaminectomy
The upward migrating piece
was removed and the far-lateral disc material
was also removed, which were in continuity.
Meticulous cleaning of the
disc space of L3-4 from the right. The epidural
fat was transferred to the L4 root.
Routine closure of the wound
and smooth postoperative recovery.
The disc height still
considerable and the defect of the annulus
fibrosis is wide. This make the expected rate of
recurrence higher than average.
The far-lateral localization
of the extrusion could mask the recurrence in
case of its occurrence and clinically could be
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014