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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14-APRIL-2012 SAWSAN SUOOD AL-WHEDY
46 YEARS EXTRUDED DISC L5-S1 WITH RIGHT FORAMINAL OCCLUSION.
Anamnesis
The
patient came to the clinic 08-April-2012
complaining of LBP for one month with right
sciatica down to the lateral malleolus with
numbness of the right S1 territory and positive
cough sign.
MRI lumbar spine performed 05-April-2012
showing extruded disc L5-S1 with right foraminal
occlusion.
On
examination, the patient is limping with
exaggerated scoliotic stance with SLRS 70
degrees with pain in the right side. There is
weak dorsi and planterflexion right foot 4/5.
There is hypalgesia right L5 and S1 territories.
The right AJ is absent.
Right S1 foraminotomy with
preservation and reflection of the flavum to the
left. The extruded disc material removed from
lateral to the axilla. Right sided cleaning
L5-S1 disc space. Around 1 ml of Guardix-sol.
injected to the operating field after
transposition of the epidural fat near the root.
Routine
closure of the wound. Smooth postoperative
recovery. The power of the right foot
normalized.
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Comments
The patient still have an
estimated recurrence rate around 7% because the
disc space height is still 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 .
