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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06-JULY-2012 FURSAN ABDEL-FATAH ABU-ATA 37 YEARS
CENTRAL EXTRUDED DISC L4-5 WITH SEVERE STENOSIS.
Anamnesis
The patient is a doctor came to the clinic
05-July-2012
complaining of LBP for 1 month, later left
sciatica for one week, then the left sciatica
migrated to the right.
MRI lumbar
spine done 21-June-2012 showing centrally
extruded disc L4-5 and bulge L5-S1. MRI repeated
03-July-2012 confirming enlargement of the
centrally extruded disc L4-5 more to the left.
On
examination, the patient have is limping with
exaggerated scoliotic stance. SLRS was 70
degrees in the right
with pain. There is almost drop right foot with weak planterflexion same foot
-4/5 with
absent AJ both sides and weak dorsiflexion left
foot 3/5.
Partial laminectomy of L4 and
L5. Bilateral foraminotomy L5 roots both sides.
Bilateral cleaning L4-5. All the compressive
elements were removed. The roots are hanging
free. Guardix-sol was applied to the dural
cover.
Routine closure of the wound. Smooth
postoperative recovery. The power of right foot became
better and normal power of the left foot.
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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 .
