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 was operated 22-September-2004 for huge PLD L4-5 with left downward migration and meticulous cleaning of the disc material was performed at that time. The patient was OK. The last two weeks after travelling and physical effort got left sided sciatica with weak dorsiflexion left foot. MRI done showing recurrence of the disc at the same level. The L5-S1 disc is degenerative without extrusion. The patient was operated and the left upper most corner of the bony alignments were drilled and the left L5 root identified and the extrusion was removed. The patient was discharged the next operative day with no sciatica and with normal power of the left foot.