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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30-MAY-2011 NIEMA MUHAMED KHATTAB 52 YEARS
MIDEOLATERAL EXTRUSION L4-5 MORE TO THE LEFT WITH SECONDARY CANAL STENOSIS.
Anamnesis
The
patient came to the clinic
26-May-2011
complaining of LBP for 4 years with bilateral
sciatica more to the left for 1
month.
MRI of the lumbar
spine performed 26-May-2011 showed mideolateral
extruded disc L4-5 more to the left, resulting
in severe segmental canal stenosis.
On
examination: the patient is limping with
exaggerated scoliotic stance with SLRS was 40
degrees with pain in left side. There is weak
dorsi and planterflexion left foot 4/5 and
dorsiflexion right foot -4/5 with numb big toe
both feet.
Bilateral foraminotomy both L5 roots with
removal of the extrusion of L4-5 from both
sides, starting from the left lateral to the
axilla. The disc space was cleaned from both
sides.
Routine
closure of the wound. The sciatica
disappeared and the power of the both feet
improved.
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Comments
The estimated recurrence rate is around 7%
because the disc space was 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 .
