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
The patient came to the clinic
20-July-2006 complaining of LBP with left sciatica for 1 year with
mild scoliotic stance. Exacerbation of sciatica the last 2 weeks.
MRI lumbar spine done 15-July-2006 showing PLD L4-5 with extrusion
and left downward migration.
On examination: SLRS was 45 degrees
in the right and 40 degrees in the left. He had weak dorsiflexion
all toes left foot.
Left L4-5 hemiflavotomy with left L5 foraminotomy was performed.
The extrusion was removed lateral to the axilla and meticulous
cleaning of the disc space was performed from the left side, because
the defect in the annulus fibrosis was wide. The downward migrated
fragment was removed in one piece after inspection of the root.
Prompt postoperative recovery.
Comments:
1. Since the
defect in the annulus fibrosis was wide, it was necessary to perform
meticulous cleaning of the disc space, to decrease the recurrence.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
fixation is the most accurate system in the market. The microdrive and
its sensor gives feed back about the localization.
Inomed MER system
Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
LooksCam II in the run starting from 14-March-2020
