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  has LBP for 18 months with tolerable pain and left sciatica. The last 14 days he got very severe left sciatica and inability to walk and scoliotic stance with almost drop left foot and hypalgesia left L4 territory. MRI showed huge PLD L3-4 with left downward migration of the disc material. The patient was operated and left L3-4 hemiflavotomy and left L4 foraminotomy was performed. Most of the extrusion was sequestrated and removed from under the axilla. Mild cleaning of the disc space was performed. The canal for the left L4 root was inspected.