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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
05-FEBRUARY-2015 MUHAMED ALI QARJAH 52
YEARS RECURRENCE OF L5-S1 DISC WITH LEFT FORAMINAL OCCLUSION.
Anamnesis
The patient was operated by me
28-November-2013 for huge extruded disc
L5-S1 with left posterior migration. The patient
then came 12-January-2015 complaining of
agonizing left sciatica the last week.
On examination, the patient is in agonizing pain, limping with exaggerated scoliotic
stance. SLRS was 40 degrees with pain in the
left. There is no weakness of the feet, but
hypalgesia left S1 root territory.
The patient was sent for new investigations. MRI lumbar spine
with contrast done 12-January-2015 showed
recurrent extrusion of L5-S1 with small fresh
piece compressing the left S1 root. The patient
was advised to wait for one month until the
fragment start to shrink and if the pain will
not subside, then perform surgery. The patient
then came 04-February urging for surgery.
Using the C-arm, the level of L5-S1 was
identified. Neurolysis of the left S1 root. The
extruded disc was removed lateral to the axilla.
Left sided intradiscal cleaning L5-S1. Routine closure of the wound.
Smooth postoperative recovery. The left sciatica
decreased dramatically.
Comments
There is still an estimated postoperative
recurrence around 7%.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
Inomed MER system
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 .
