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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28-NOVEMBER-2013 MUHAMED ALI QARJAH 49 YEARS
HUGE EXTRUDED DISC L5-S1 WITH LEFT POSTERIOR MIGRATION.
Anamnesis
The patient came to the clinic 02-October-2013
complaining of neck and LBP after RTA
12-September-2013. The neck pain disappeared,
but the LBP persisted with numbness of the left
foot down to the left S1 territory.
MRI lumbar spine done 24-September-2013 showing
huge extruded disc L5-S1 left side with
posterior migration.
On examination is limping, in agonizing pain with exaggerated
scoliotic stance. SLRS was 50
degrees left side with pain. There is weak
dorsiflexion left foot 4/5 and weak planterflexion left foot
4/5. There is
hypalgesia left S1
territories.
The patient escaped then came 27-November-2013
with the same complains and sent for new investigations, and
MRI 27-November-2013 showing the same extrusion.
Left S1 foraminotomy. The
extruded disc was removed in several pieces from
under the axilla. Left sided intradiscal
cleaning L5-S1 disc space. Routine closure of
the wound.
Smooth postoperative
recovery. The power of the left foot became
normal.
Comments
The patient still has an estimated postoperative
recurrence around 7%, because the disc space is
still not completely shallow.
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