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
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25-APRIL-2012 LINA JAMAL SAADE-EDEEN
36 YEARS EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.
patient came to the clinic 05-November-2006
complaining of LBP with left sciatica for 8
months with exacerbation the last 10 days. SLRS
was 40 degrees with pain in the left with weak
dorsi and planterflexion left foot 4/5 with
hypalgesia left L5 and S1 territories. MRI done
07-November-2006 showing extruded disc L5-S1
more to the left. It was decided to try
conservative treatment and surgery was added as
an option in case of not improving.
patient then got another attack of LBP with left
sciatica the last 40 days for what MRI of the
lumbar spine was repeated 18-April-2012 in UAE and showing huge
extruded disc L5-S1 with left foraminal
examination, the patient is limping with
exaggerated scoliotic stance with SLRS 30
degrees with pain in left side. There is
weak dorsi and planterflexion both feet -4/5.
Positive cough sign.
Left S1 foraminotomy with
reflection of the ligamentum flavum to the
right. The old hard extrusion was removed by
several means and left sided cleaning of L5-S1
disc space was achieved. The root was lacking
the epidural fat, for what Guardix-so;. 1.5 ml
was applied to the area to minimize the
postoperative adhesions. The flavum was returned
back in place.
closure of the wound. Smooth postoperative
recovery. The power of
foot became normal.
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The patient has an
extruded disc of L5-S1 which is enlarging over
the time. Surgical intervention became the only
solution for her problem.
The estimated postoperative recurrence in this
case is below 7% because the disc space is
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 .