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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08-SEPTEMBER-2013 MUHAMED THEEB AL-ATOOT 37 YEARS
EXTRUDED DISC L4-5 WITH RIGHT DOWNWARD MIGRATION.
Anamnesis
The patient came to the clinic 06-July-2013
complaining of LBP for 6 months with right
sciatica for 4 months down to the big toe right
foot.
MRI of the lumbar spine performed 25-April-2013
showing extruded disc L4-5 with
right downward migration and bulge L5-S1. MRI
repeated 26-June-2013 and 07-September-2013
showing the same data.
On examination: the patient is
limping with exaggerated scoliotic stance. There
is almost drop right foot 3/5. SLRS was
30 degrees in the right with
pain. There is hypalgesia right L5 and S1 roots.
Using C-arm, the level of
L4-5 identified. L4-5 flavotomy with right L5
foraminotomy was done. The extruded disc was
removed lateral to the axilla of the right L5
root. Bilateral cleaning L4-5 disc space.
Smooth postoperative
recovery. The power of the right foot
became normal.
Comments
The patient still have an estimated
postoperative recurrence around 7% because the
disc space height still not shallow.
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