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 .
22-JULY-2014 NADIA ALI AL-ANSI 40 YEARS HUGE
EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic 17-July-2014
complaining of LBP for 5 years with left sciatica for
3 years with numbness all toes left foot with
exacerbation last 2 years. MRI lumbar spine done 13-July-2014
showing huge extruded disc L5-S1 with left
foraminal occlusion.
On examination; the patient is not limping now with exaggerated scoliotic stance.
SLRS was 80 degrees with pain in the left. There is weak dorsiflexion
left foot -3/5 and planterflexion same foot -4/5.
Using C-arm, the L5-S1 level was identified.
Midline incision. Foraminotomy left S1 root with
preservation of the ligamentum flavum,
reflecting it to the right. . The MICRODISCXS
with VITOM were used to the next steps of
surgery. The huge extruded disc was removed
lateral to the axilla in several pieces. Left sided intradiscal cleaning of L5-S1
disc space. The ligamentum flavum was returned
to place. Routine closure of the wound.
Smooth postoperative recovery. The power of left
foot became normal and the left sciatica
disappeared.
Comments
There is still an estimated postoperative
recurrence around 7%, because the disc space height is still
not completely shallow.
This case a good demonstration, that the
ligamentum flavum can be preserved and the surgery can be
proceeded, using the tubular endoscopic facilities.
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 .
