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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09-DECEMBER-2012 TAHER MUHAMED ODEH 58 YEARS
EXTRUDED DISC L4-5 WITH RIGHT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic 02-December-2012
complaining of LBP with right sciatica for 40
days. The patient is a known hypertensive with
diabetes mellitus under treatment.
MRI of the lumbar spine done 22-November-2012
showing extruded disc L4-5 with right foraminal
occlusion.
On examination: the patient is limping
as dragging the right leg with
exaggerated scoliotic stance. SLRS 85 degrees
both sides without pain. There is
weak dorsiflexion right foot -4/5.
Decompressive laminectomy L4
and partial of L5. Foraminotomy right L5 root.
The extruded disc was removed lateral to the
axilla and right sided cleaning L4-5 was
performed. There was no epidural fat and the
dura was transparent due to severe compression.
Routine closure of the wounds. Smooth
postoperative recovery. The power of the right
foot
became normal.
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Comments
The patient still has
an estimated postoperative recurrence rate
around 7%, because the disc space is still not
shallow.
The patient had segmental stenosis L4-5, for
what decompressive laminectomy was done.
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