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-SEPTEMBER-2012 MUHAMED SULAYMAN ODEH 37 YEARS
HUGE EXTRUDED DISC L4-5 WITH LEFT UPWARD MIGRATION.
Anamnesis
The patient came to the clinic
04-September-2012 complaining of LBP for 3 weeks
and left sciatica for 10 days with agonizing
pain.
On examination, the patient is limping with
exaggerated scoliotic stance. SLRS was 60
degrees in the right shooting to the left leg
and 30 degrees with more pain. There is profound
weak dorsiflexion left foot -3/5 with almost
drop left foot.
MRI lumbar spine performed 05-September-2012
showing huge extruded disc L4-5 with left
upward migration and small extrusion L5-S1.
Left L4-5 hemiflavotomy with
foraminotomy left L5 root. The extruded disc was
approached lateral to the axilla. It was removed
in several pieces. Left sided cleaning L4-5 disc
space. The left axilla was free of fat due to
severe compression. It became lax after
completion of surgery.
Routine closure of the wound. Smooth
postoperative recovery and the power of the
left foot became normal.
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Comments
The patient still have an
estimated postoperative recurrence around 7%,
because the disc space is still not shallow.
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