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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17-AUGUST-2011 FATIMA MUHAMED ABDEL-AZIZ 52 YEARS
EXTRUDED DISC L5-S1 WITH FOCAL COMPRESSION OF THE LEFT S1 ROOT.
Anamnesis
The
patient came to the clinic 16-August-2011
complaining of LBP for 9 years with exacerbation
of the LBP for 2 weeks and left sciatica.
MRI
lumbar spine done 14-August-2011 showing
extruded disc L5-S1 with pin point compression
of the left S1 root and small extrusion of L4-5
right side.
On
examination: the patient is limping and has
exaggerated scoliotic stance. There is weak
dorsiflexion left foot 3/5 and planterflexion
same foot 3/5. There is hypalgesia left S1
territory.
Left S1 foraminotomy with
partial flavotomy L5-S1. The extruded disc was
removed subaxially in one piece.
Cleaning of L5-S1 disc space was performed from
the left. The disc space was not shallow.
Routine
closure of the wound. Smooth postoperative
recovery .
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Comments
The postoperative recurrence rate in this case
is around 7% because the disc space is still not shallow.
Despite the fact, that the disc extrusion was
not big, but it was hard and compressing the S1
root as pin point, causing agonizing sciatica.
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 .
