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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18-DECEMBER-2013 AIDA MUHAMED KHALEEL 53 YEARS
EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.
Anamnesis
The patient came to the clinic 08-December-2013
complaining of LBP for 4 months with right
sciatica. Exacerbation of the LBP with right
sciatica the last month with numbness of all the
toes right foot.
MRI lumbar spine done 02-December-2013 showing
extruded disc L5-S1 with right downward
migration.
On examination is limping, in agonizing pain with exaggerated
scoliotic stance. SLRS was 40
degrees both sides with pain shooting to the
right leg when elevating the left leg. There is
weak dorsi and planterflexion right foot -4/5.
Using C-arm, the L5-S1 level
was identified. Foraminotomy right S1 root was
achieved. The extruded disc was removed lateral
to the axilla. Right sided cleaning of L5-S1 was
performed. During the procedure, several
endoscopic maneuvers were applied to trade for
good illumination and good video recording, but
video recording most of the time failed during
endoscopic applications.
Smooth postoperative
recovery. The power of the right foot became
normal and the agonizing right sciatica
disappeared.
Comments
The estimated postoperative recurrence of L5-S1
is still around 7%, because the disc space is
still not completely shallow.
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