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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30-JUNE-2013 FAYZEH SABER AYYASH 56 YEARS
SPONDYLOLISTHESIS L4-5 WITH SECONDARY STENOSIS.
Anamnesis
The patient came
to the clinic 13-June-2013 complaining of LBP
with left sciatica for 9 years. The patient is a
known diabetic for 6 years and MRI left knee
performed 01-June-2013 showing huge Backer cyst.
Lumbo-sacral X-ray showing spondylolisthesis
L4-5. MRI lumbar spine done 29-June-2013 showing the grade II
spondylolisthesis of L4-5 with secondary
stenosis.
On examination: The patient was limping with
exaggerated scoliotic stance. SLRS was 90
degrees with pain in both sides. Weak
dorsiflexion both feet 4/5. The patient was
treated conservatively for effusion both knees.
Laminectomy L5 and upper
1/4th of L5. Bilateral foraminotomy L5 roots.
Discectomy of L4-5 from the left and insertion
of TLIF cage Novel TL 9x10x300 mm. Using Isobar
TTL module in 2 polyaxial screws 6.2x45 mm were
inserted to L4 body and 6.2x45 monoaxial to L5
body. 2 bended rods 5.5x30 mm were applied with
bone graft - BoneSave Stryker. All stages
of surgery were done with C-arm control.
Routine closure of the wound.
Smooth postoperative recovery.
The power of
left foot became normal.
Comments
The patient has a spondylolisthesis, making her
unable to live normally. Surgery is the only
solution.
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
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