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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21-JULY-2012 FATMEH HAMDY KHALAF 49 YEARS EXTRUDED
DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic 14-July-2012
complaining of LBP for three months with left
sciatica for 2 months with numbness of the left
S1 territory.
MRI lumbar spine done 22-March-2012 showing huge
extruded disc L5-S1 with left foraminal
occlusion.
On examination, the patient is not limping with
exaggerated scoliotic stance. SLRS was 85
degrees in the right and 45 degrees with pain in
the left. There is weak dorsi and planterflexion
left foot 4/5. The AJ is absent in the left side
The patient was sent for new MRI investigation
and done 17-July-2012 showing the same data as
before. Dynamic studies were negative for
instability.
Left S1 foraminotomy with
reflection to the right and preservation of the
ligamentum flavum. The extruded disc L5-S1 was
removed lateral to the axilla and left sided
cleaning L5-S1 disc space was achieved.
Inspection of the root and the subaxillary area,
The flavum was returned to its original place.
Routine closure of the wound. Smooth
postoperative recovery. The power of the left
foot became normal.
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Comments
The patient still have
postoperative estimated recurrence around 7%,
because the disc space height 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 .
