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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03-JANUARY-2012 UMAR AHMAD HDEYB 42 YEARS EXTRUDED
DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.
Anamnesis
The
patient came to the clinic 29-December-2011
complaining of LBP for 4 years with left
sciatica. Exacerbation of left sciatica the last
year. The patient has spring allergy for olive
pollens.
MRI lumbar
spine done 08-October-2011 showing extruded disc
L5-S1 with left foraminal occlusion.
On
examination, the patient is now not limping with
exaggerated scoliotic stance. There is weak
dorsi and planterflexion left foot 4/5 with
numbness left S1 territory. SLRS was 90 degrees in the
right without pain and 70 degrees in the left
with pain. The AJ is absent in the left.
The
patient was sent for MRI of the
lumbar spine, which were done 29-December-2011
confirming the persistence of the extrusion and
foraminal occlusion.
Foraminotomy of the left S1
root. The extruded disc was removed from under
the axilla. After removing the extruded disc,
the root was shifted medially and further
cleaning of L5-S1 disc space was achieved and
the root was inspected, so as not to miss a
migrating fragment.
Routine
closure of the wounds. Smooth postoperative
recovery with improvement of the power of the
left foot.
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Comments
The patient has still postoperative recurrence
rate around 7%, because the disc space 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 .
