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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27-JUNE-2013 ABEER KHALEEL ABDEL-KAREEM 41 YEARS
EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.
Anamnesis
The patient came
to the clinic 22-June-2013 complaining of LBP
for 4 years. The last month
got exacerbation of LBP with right sciatica down
to the big toe right foot.
On examination: The patient is limping with
exaggerated scoliotic stance. SLRS was 45
degrees with pain in the right. Weak
dorsiflexion right foot -4/5 and planterflexion right foot
4/5. There is
hypalgesia right L5 root.
Right L5-S1 hemiflavotomy.
Right S1 foraminotomy. The extruded disc was
removed lateral to the axilla. Right sided
intradiscal cleaning L5-S1 disc apace. A piece
of muscle was applied to the area to control
heamostasis.
Routine closure of the wound.
Smooth postoperative recovery.
The power of
right foot became normal.
Comments
The patient still has an estimated postoperative
recurrence around 7%, because the disc space is
still not shallow.
The disc extrusion was not big, but it was
compressing the root as pin point, causing the
agonizing pain.
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