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
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11-JANUARY-2013 TOLEEN NAJEEB SHEBLY EXTRUDED DISC L5-S1 WITH
LEFT DOWNWARD MIGRATION.
Anamnesis
The patient came to the emergency of Shmaisani
hospital 11-January-2013 complaining of LBP for
three years, left sciatica for one year with
exacerbation of the sciatica the last 2 weeks
with positive cough sign and not reaching below
the left knee.
On examination: the patient
in agonizing pain. She is limping with
exaggerated scoliotic stance. SLRS 50 degrees
right side with pain and 45 degrees with more
pain in the left. There is weak dorsi 4/5 and
planterflexion
-4/5 left foot with absent left AJ.
MRI done 11-January-2013
showing huge extruded disc L5-S1 with left
downward migration. There are elements of
lumbarization of S1.
Left S1 foraminotomy after
C-arm identification. There is no epidural fat
around the root due to severe compression. The
extruded disc was removed lateral to the axilla.
Left sided cleaning L5-S1
Routine closure of the wound.
Smooth postoperative recovery.
The power of the left foot became normal.
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Comments
The patient still have an
estimated postoperative recurrence around 7%,
because the disc space is not completely
shallow.
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