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 .
25-AUGUST-2014 MUHAMED ABDEL-RAHMAN AL-KHALIDI 62
YEARS EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.
Anamnesis
The patient came to the clinic 23-August-2014
complaining of right sciatica for 6 months with
exacerbation the last 2 weeks. The patient is a
known diabetic insulin-dependent for 20 years.
MRI lumbar spine done 02-March-2014 showing
extruded disc L5-S1 with right downward
migration.
On examination; the patient is in agonizing
pain, limping with exaggerated scoliotic stance,
using crutches to walk for 2 weeks.
SLRS was 70 degrees in the right with pain. There is weak
dorsiflexion right foot 3/5 and planterflexion
same foot 4/5.
The patient was sent for new MRI of the lumbar
spine with dynamic studies and lab
investigations. The MRI performed the same day
showing increase of the previous extrusion.
Dynamic studies were normal.
The L5-S1 level was identified by the C-arm.
Right S1 foraminotomy. The extruded disc was
removed lateral to the axilla in several pieces.
Right intradiscal cleaning L5-S1 disc space.
During the surgery
ILLICO MSI retractor was used. Routine
closure of the wound.
Smooth postoperative recovery with normalization
of the power of the right foot.
ILLICO MSI retractor
Comments
The patient still has an estimated
postoperative recurrence around 7%, because the disc space
is still not completely shallow.
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
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 .
