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
08-JUNE-2014 MARIAM JAMAL ISMAEEL 53 YEARS
EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.
The patient came to the clinic 08-June-2014
complaining of LBP with left sciatica for 5
years with exacerbation last three months with
numbness all toes left foot. MRI lumbar spine
done 03-May-2014 showing extruded disc L5-S1
with left foraminal occlusion.
On examination; The patient is limping with
exaggerated scoliotic stance. SLRS was 80
degrees left side with pain. The left AJ is
absent. There is weak dorsi and planterflexion
left foot -3/5.
Left S1 foraminotomy. The extruded disc was
removed lateral to the axilla. Left sided
cleaning L5-S1 disc space. Routine closure of
Smooth postoperative recovery. The power of the
left foot became normal.
The patient came 12-July-2014 telling that the
last 2 days got exacerbation of the left
sciatica. On examination, she was limping with
SLRS 80 degrees with pain left side and weak
dorsiflexion left foot 4/5. The patient was sent
for new MRS which was done the same day, showing
recurrence of the extrusion with soft material.
The patient was advised to wait for 30-45 days
until the extrusion shrink by itself, or undergo
surgery to ease the pain. They agreed to wait
this period of time.
The patient still has an estimated
postoperative recurrence around 7% because the disc space is
still not shallow.
When recurrence take place, if it is
medium size and soft in consistency, then with time 80% of
cases improving without undergoing second surgery, due to
shrinkage of the soft extrusion.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
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 .