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

The patient  came with severe left sciatica, limping gait, weak dorsi and planterflexion all toes left foot with hypalgesia left L5, S1 roots territories with positive cough sign. MRI showed an extruded disc L5-S1 compressing the left S1 root. Despite the disc is not big, but the cause of the severe neurologic signs is the direct compression of the root. Here there is a tendency to remove the extrusion with minimal cleaning of the disc space with trail to avoid widening the foramen through which the disc slipped after what the opening was diminished in diameter by applying the bipolar coagulation. Near epidural fat was transferred at the end of the procedure to the root  to minimize the fibrotic formation.