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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26-NOVEMBER-2011 NASER MASHHOUR UTHMAN 35 YEARS EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL
OCCLUSION.
Anamnesis
The
patient came to the clinic 23-November-2011
complaining of LBP with agonizing left sciatica
for 3 weeks, down to the left calf muscle.
MRI of the
lumbar spine performed 12-November-2011
showing extruded disc L5-S1 with left foraminal
occlusion.
On
examination: There is limping with exaggerated
scoliotic stance. SLRS was 20 degrees with pain
in the left. The AJ is absent in the left. There
was weak
dorsi and planterflexion left foot -4/5.
Left S1 foraminotomy with partial flavotomy with
preservation of the epidural fat. The extruded
disc of L5-S1 was severely compressing the left
S1 root. It was removed lateral to the axilla.
Left sided cleaning of L5-S1 disc space. The
epidural fat was shifted to cover the root were
it was missing, to minimize postoperative
fibrosis.
Smooth postoperative
recovery with improvement of the power of
the left foot.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
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Comments
The patient had pin-point compression of the
root with hard disc, causing agonizing sciatica.
If the piece was soft, no need for surgery, but
the piece is hard in consistency and it will not
shrink with time.
The estimated postoperative recurrence is still
around 7%, because the disc space is not
shallow.
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 .
