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

58 years female was operated three times for disc pathology over the last 15 years and continued to complain of severe pain and bilateral sciatica more to the left with weakness of the left lower limb. The patient as seen in the MRI showed severe stenosis of her back from L1-2 down to L4-5. She was operated and generous decompression of all bony and ligamentous structures was performed. The cause of her left sciatica was the left L3-4 facet which was structurally shifted to the midline due to hypertrophy. All these structures were drilled and the dura was adherent to the flavum due to severe compression. The patient regained power immediately after surgery and in the next day no more left agonizing sciatica.