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
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06-AUGUST-2013 MUHAMED HISHAM AHMAD 29 YEARS
EXTRUDED DISC L4-5 WITH LEFT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic 04-August-2013
complaining of LBP with left sciatica for 20
days with numbness of the second and third toes
left foot.
MRI lumbar spine performed 29-July-2013 showing
extruded disc L4-5 with left foraminal
occlusion.
On examination: the patient is limping with
very exaggerated scoliotic stance. SLRS was 20
degrees with pain left side. There is weak
dorsiflexion left foot -4/5.
Left L4-5 hemilaminectomy
approach with C-arm guidance. Fenestration with foraminotomy
of left L5 root with
removal of the extrusion lateral to the axilla
of L5 root. Left sided intradiscal cleaning
L4-5 disc space.
Routine closure of the wound.
Smooth postoperative recovery. Regression of the
sciatica and the power of the left foot became
normal.
Comments
The patient still has an estimated postoperative
recurrence around 7%, because the disc space is
not shallow.
Hemilaminectomy approach is good for the
patient, but less suitable to visual
documentation.
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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 .
