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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator
30-DECEMBER-2013 NABEEL IBRAHEEM ABDEL-HAMEED 50
YEARS EXTRUDED DISC L4-5 WITH RIGHT DOWNWARD MIGRATION.
The patient came to the clinic
29-December-2013 complaining of LBP with right sciatica
for 2 years with intermittent course with
exacerbation last 15 days. MRI lumbar spine done
28-December-2013 showing extruded disc L4-5 with
right downward migration. Dynamic studies were
normal, but reported as having retrolisthesis
On examination: the patient is limping with
scoliotic stance. SLRS was 40
degrees right side with pain. There is almost
drop right foot with weak dorsiflexion -3/5.
Using C-arm, the L4-5 level
was identified. Right L4-5 hemiflavotomy done
and foraminotomy of the right L5 root achieved.
The extruded downward migrating extrusion was
removed lateral to the axilla in one piece.
Right sided intradiscal cleaning L4-5 disc
recovery. The power of the right foot became
The estimated postoperative third recurrence of L3-4
is still around 7%, because the disc space is
still not completely shallow.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
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 .