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 .
04-DECEMBER-2014 SAMI ABDEL-AZIZ AL-KOOZ 39 YEARS
HUGE RECURRENCE OF L5-S1 WITH RIGHT POSTERIOR MIGRATION.
Anamnesis
The patient was operated by me
18-February-2013 for extruded disc L5-S1
with right downward migration. The patient then
came to the clinic 29-November-2014 complaining
of LBP with right sciatica the last 3 months.
MRI lumbar spine done 12-October-2014 showing
huge recurrence of L5-S1 with right posterior
migration.
On examination, the patient is limping and with
mild scoliotic stance. SLRS was 20 degrees with
pain in the right. There is weak dorsiflexion
and planterflexion right foot 3/5. There is
hypalgesia below the left knee. The right AJ is
absent.
Foraminotomy right S1 root below the adhesion.
Scarolysis until the root got relation with
backward migrating extrusion. The extruded disc
was removed in several pieces lateral to the
axilla. Further intradiscal cleaning L5-S1 space
from the right. Routine closure of the wound.
Smooth postoperative recovery. The
power of the right foot became normal.
Comments
The patient still has an estimated
postoperative recurrence around 7%.
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
Inomed MER system
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 .