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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
08-FEBRUARY-2012 AMEENEH SALEEM ABU-SMOUR 60 YEARS
EXTRUDED DISC L4-5 WITH LEFT FORAMINAL OCCLUSION WITH DOWNWARD MIGRATION.
Anamnesis
The
patient came to the clinic
21-January-2012 complaining of LBP with left
sciatica for 2 months down to the lateral
malleolus left ankle, which increased the last 3
weeks.
MRI lumbar spine performed 07-January-2012
showing bulge L2-3, 3-4 and L5-S1 with left L4-5
foraminal occlusion and extruded disc with
downward migration.
On
examination, the patient is now not limping with
exaggerated scoliotic stance. SLRS was 90 degrees
in the right and 85 degrees in
the left. There is weak dorsiflexion right foot
4/5 and -4/5 left foot. There is dyseasthesia
left L5 root territory.
Left L5 foraminotomy with
partial left L4-5 flavotomy. There is missing
epidural fat at the area of severe compression.
The extruded downward migrating disc was removed
lateral to the axilla. Left sided cleaning L4-5
disc space, The root regained lax position.
Routine
closure of the wounds. Smooth postoperative
recovery with normalization of the power of the
feet.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
connection.
Comments
The patient still have possibility to
progress recurrence around 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 .
