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
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10-MARCH-012 NADIRA MUSTAFA MUHAMED
50 YEARS HUGE EXTRUDED DISC L5-S1 WITH RIGHT
DOWNWARD MIGRATION.
Anamnesis
The
patient came to the clinic 04-March-2012
complaining of LBP for 15 years with right
sciatica for 3 months down to the L5 territory
with numbness all toes right foot. She cannot
walk more than 200 meters.
MRI lumbar
spine performed 15-February-2012 showing bulge
L4-5 with extruded disc L5-S1 with right
downward migration.
On
examination, the patient is in agonizing right
sciatica, limping with exaggerated scoliotic
stance. SLRS was 70 degrees in right side with
pain. She has weak dorsiflexion right foot 3/5
and planterflexion 4/5.
Bilateral L5-S1 flavotomy
with right S1 Foraminotomy was done. The
extruded disc was removed lateral to the axilla.
Right sided cleaning L5-S1 disc space was
achieved. The epidural fat was transferred to
the missing root areas to decrease the
postoperative fibrosis.
Routine
closure of the wound. Smooth postoperative
recovery. The power of the right foot became
normal.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
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Comments
The patient still have around 7% postoperative
recurrence because the disc space height still
not shallow.
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 .
