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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09-MAY-2012 IBRAHEEM MUHAMED ABU-HAMDEH 23 YEARS
EXTRUDED HUGE DISC L4-5 WITH RIGHT DOWNWARD MIGRATION.
Anamnesis
The
patient came to the clinic 06-May-2012
complaining of LBP for 6 months and right
sciatica for 5 months down to the calf muscle.
The last month the LBP decreased in intensity,
but the right sciatica became more aggressive.
MRI lumbar spine done 26-April-2012 showing
extruded huge disc L4-5 with right downward
migration.
On
examination, the patient is not limping with scoliotic
stance due to old structural scoliosis since
childhood. SLRS was 40 degrees both sides with
pain. Dorsiflexion right foot was 3/5.
Right partial flavotomy L4-5.
Foraminotomy right L5 root. The extruded disc
was removed lateral to the axilla. Right sided
cleaning L4-5 disc space. The right L5 root
became lax and free.
Routine
closure of the wound. Smooth postoperative
recovery and the power of the right foot became
normal.
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Comments
The patient still have
estimated postoperative recurrence around 7%,
because the disc space height 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 .
