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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12-AUGUST-2013 RIMA AHMAD ALHAJ-SALEH 32 YEARS
EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.
Anamnesis
The patient came to the clinic 25-June-2013
complaining of LBP for 12 months and right
sciatica for 7 months, reaching the right knee.
MRI lumbar spine done 17-February-2013 showing
bulge L4-5 and extruded disc L5-S1 with right
downward migration.
On examination: the patient
not limping with no apparent scoliosis. SLRS was
80 degrees both sides. There is weak
dorsiflexion right foot 4/5 and hypalgesia right
L5 territory.
MRI lumbar spine was repeated
26-June-2013 showing the same data as before.
Right S1 foraminotomy. Check
level by using the C-arm. The extruded disc was
removed lateral to the axilla. Right sided
intradiscal cleaning L5-S1 disc space.
Smooth postoperative
recovery. The power of the right foot became
normal.
Comments
The patient still having postoperative
recurrence around 7%, because the disc space is
still not shallow.
It is preferable to perform MRI just prior to
the operation.
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