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
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16-JUNE-2015 ALI MUHAMED AL-HADID 79 YEARS LCS D12
DOWN RO L5 WITH SPONDYLOLISTHESIS L3-4.
The patient came to the clinic 07-June-2015
complaining of LBP with bilateral sciatica for2
years with inability to walk more than 50
meters. He use crutches for 10 years and he was
operated 21-November-2005 elsewhere for left
sciatica. MRI lumbar spine performed
24-October-2013 showing LCS L1 down to L5 with
On examination; the patient is limping walking
with help bended anterior with
exaggerated scoliotic stance. Neck and upper
limbs were neurologically free. SLRS was 70
degrees with pain in the right and 20
degrees with more pain in the
left. There is weak dorsiflexion
both feet -3/5 and planterflexion both feet -3/5.
There is weak quadriceps both legs 4/5.
The patient was sent for new investigations and
MRI lumbar spine performed the same day showing
the same data as before with further stenosis at
D12-L1 and the dynamic studies showing the
spondylolisthesis L3-4 and scoliotic deformity.
Decompressive laminectomy L1-4 and partial of
D12 and L5. Using Legacy system, transpedicular
fixation with scoliotic deformity correction was
applied to L2-3 and L4. Cross connector was
applied. The harvested bone was applied lateral
to the rods. Routine
closure of the wound.
Smooth postoperative recovery. The power of
both feet became better.
The patient having multiple problems of
his spine. The lumbar was the essential and correction of
all his problems were undertaken.