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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09-JULY-2012 ABDEL-AZZIZ SALAMEH AL-AWAYDEH 50 YEARS
EXTRUDED DISC L4-5 WITH RIGHT DOWNWARD MIGRATION AND SEVERE SEGMENTAL STENOSIS.
Anamnesis
The patient came to the clinic 01-July-2012
complaining of LBP since 1995 with right
sciatica. The patient felt down 2 months ago and
got exacerbation of LBP with right sciatica.
On
examination, the patient now is limping with
exaggerated scoliotic stance. SLRS was 75
degrees in the right
with pain. There is weak dorsiflexion right foot
3/5 and left foot 4/5.
MRI lumbar
spine done 07-July-2012 showing severe lumbar
canal stenosis L4-5 with extruded disc L4-5 and
right downward migration.
Decompressive laminectomy of
L4 and partial of the upper half of L5.
Bilateral flavotomy with bilateral foraminotomy
both L5 roots. The extruded disc was removed
lateral to the right axilla.
Routine closure of the wound. Smooth
postoperative recovery. The power of both feet became normal.
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Comments
The patient still has
an estimated postoperative recurrence about 7%,
because the disc space is 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 .
