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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator
18-JUNE-2012 LATIFEH SULAYMAN BU-NAKHLA 55 YEARS
EXTRUDED DISC L3-4 AND L4-5 WITH RIGHT DOWNWARD MIGRATION.
The patient came to the clinic
14-June-2012 with known history of MS for 8
years under treatment with Imuran and Symmetrel complaining of LBP for three
months with right sciatica.
examination, the patient is limping with
exaggerated scoliotic stance. SLRS was 75
degrees right with pain. There is hypalgesia
right leg above the knee with weak dorsi and
planterflexion right foot
MRI brain done 14-June-2012 showing the old MS
scattered foci and a small
en plaque meningioma over the left frontal
pole of no significant value and lumbar spine showed
extruded disc L4-5 with right downward
Laminectomy L4 and lower half
of L3 and upper half of L5. Foraminotomy right
L4 and L5 roots. The extruded disc of L3-4 was
removed from the right side and right sided
cleaning L3-4 was achieved. The L4-5 extrusion
was bony hard and adherent with the root. It was
drilled out. The disc space was empty and very
shallow. Further foraminotomy for both roots to
ensure that no compression at the exit foramina.
There was no epidural fat at the working area,
for what Guardix-sol was applied to minimize
closure of the wound. Smooth postoperative
recovery and the power of the right foot became
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
The patient has estimated
postoperative recurrence for L4-5 around 0%, but
for L3-4 still around 7% because the disc space
of L3-4 is 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 .