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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15-JANUARY-2013 HUSSEIN SULAYMAN BALASI 58 YEARS
LUMBAR CANAL STENOSIS L3-4, 4-5 L5-S1 WITH WIDE BASED EXTRUSION L4-5.
Anamnesis
The patient came to the clinic 12-January-2013
complaining of LBP with right sciatica for 20
months and inability to walk more than 500
meters with intermittent claudication with
numbness both feet more the right.
On examination: the patient
is not limping with mild scoliotic stance. SLRS
was 80 degrees both sides. There is weak
dorsiflexion both feet 4/5.
Decompressive laminectomy L4,
L5 and lower 2/3 of L3 and upper edge of the
sacrum. Foraminotomy L4, L5 and S1 roots both
sides. The dura was transparent without epidural
fat due to severe compression. Inspection of the
L4-5 annulus fibrosis revealed acceptable
alignment and consistency without extrusion, for
what it was decided not to violate the disc.
Routine closure of the wound.
Smooth postoperative recovery. The power of the
feet became normal.
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Comments
The patient has severe
canal stenosis and extruded disc L4-5. Both
problems must be resolved. Since the disc of
L4-5 was acceptable it was wise not to violate
it.
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