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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07-JULY-2012 BASAM
YOUSEF AL-SAADY 47 YEARS EXTRUDED DISC L5-S1 WITH RIGHT FORAMINAL
OCCLUSION.
Anamnesis
The patient came to the clinic 20-May-2012
complaining of severe sudden LBP with right
sciatica for 1 month
On
examination, the patient is not limping with
exaggerated scoliotic stance. SLRS was 70
degrees in the right
with pain. There is weak dorsiflexion right foot
-4/5 and planterflexion same foot 4/5 with
absent AJ right side.
The
patient was sent to MRI investigation, which was
done 21-May-2012 showing extruded disc L5-S1
with right foraminal occlusion. The patient was
advised to keep in conservative treatment and in
case of not improving to undergo surgery. The
patient came 02-July-2012 urging for surgery.
Right S1 foraminotomy with
reflection of the L5-S1 ligamentum flavum to the
left. The right S1 root was severely compressed.
The extruded disc was removed lateral to the
axilla. Right sided cleaning L5-S1 disc space.
The ligamentum flavum returned back to its
original position.
Routine closure of the wound. Smooth
postoperative recovery. The power of right foot became normal.
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Comments
The patient still has
an estimated postoperative recurrence about 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 .
