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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27-FEBRUARY-2013 MAHMOUD HUSSEIN ABU-LIMUN 52
YEARS EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.
Anamnesis
The patient came to the clinic 25-February-2013 complaining of
LBP for 10 years with exacerbation of left
sciatica the last 3 months with
numbness of the left foot.
MRI lumbar spine done 10-February-2013 showing
huge extruded disc L4-5 with left downward
migration.
On examination: The patient is limping with
exaggerated scoliotic stance. SLRS was 75 degrees
in the right and 60 degrees in the
left with pain. There is
drop left foot and weak planterflexion left foot
-4/5. Hypalgesia
both left L5 and S1.
Left L5 foraminotomy with subaxillary removal of
the extrusion in one piece. The root then became
and left sided intradiscal cleaning of L4-5 disc
space was achieved.
Routine closure of the wound.
Smooth postoperative recovery. The power of
right foot became normal.
Comments
The patient has huge extrusion of L4-5 with drop
left foot without
improvement. Surgical intervention is the only
solution.
The estimated postoperative recurrence is still
ranking around 7%, because the disc space is
still not shallow.
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