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

The patient has LBP for 7 years with bilateral sciatica and intermittent claudication for 2 years. She cannot walk more than 100 meter. On examination 27-September-2005 SLRS right was limited to 5 degrees. Hypalgesia right L5 root territory and weak dorsiflexion both feet and planterflexion right foot.  MRI  showing severe LCS L3-4, L4-5 and right foraminal stenosis at L5-S1 level, for what decompressive laminectomy L4,5 and partial of L3 was performed and foraminotomy of right S1 root. Inspection of the disc at this level showed old calcified disc for what it was decided to leave it.