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 .
12-MARCH-2014 BUTHAYNA MUHAMED AL-MAJDALAWY 47
YEARS EXTRUDED DISC L4-5 WITH LEFT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic 09-March-2014
complaining of LBP for 1 month with left
sciatica with numbness all toes left foot. MRI
lumbar spine done 08-March-2014 showing extruded
disc L4-5 with possible downward migration left
side (bad quality).
On examination; the patient is in agonizing pain, limping, with exaggerated scoliotic
stance. SLRS was 90 degrees both sides with pain
left side. There is drop left foot.
MRI of the lumbar spine done
10-March-2014 confirming the presence of L4-5
extrusion with left foraminal occlusion. Dynamic
studies ruled out any instability.
Using C-arm, the L4-5 level identified.
Foraminotomy left L5 root was achieved. The
extruded disc was removed lateral to the axilla.
Left sided cleaning L4-5 disc space. The root
after that hanging free. Routine closure of the
wound.
Smooth postoperative
recovery. The power of the left foot became
better.
Comments
The patient still has an estimated
postoperative recurrence rate around 7%, because
the disc space height still not shallow.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
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 .
