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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01-MARCH-2011 INNAAM ALI QTESHAT 61 YEARS
SEVERE LUMBAR CANAL STENOSIS DUE TO CENTRAL EXTRUDED DISC L4-5 MORE TO THE
RIGHT.
Anamnesis
The patient
came to the clinic 26-February-2011 complaining
of LBP with agonizing right
sciatica the last 2 weeks.
MRI lumbar spine done
26-February-2011 showing extruded disc L4-5
central more to the right, resulting in severe
lumbar canal stenosis.
On
examination: The patient is limping with
exaggerated scoliotic stance with SLRS 40
degrees in the right with pain and 60
degrees in the left with less pain, and weak dorsiflexion right foot
3/5 left foot-4/5 and planterflexion right
foot 3/5 and 4/5 in the left with
analgesia right L5 and hypalgesia right S1 root
territories. There is moderate OA both knees.
Decompressive laminectomy of L4 and partial of
L5 with bilateral foraminotomy L5 roots and
bilateral cleaning of L4-5 disc space. There was
no epidural fat at the exposed dura.
Routine
closure of the wound. Smooth postoperative
recovery with normalization of the power of
both feet.
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Comments
The estimated postoperative
recurrence is still ranking around 7%, because
the disc space 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 .
