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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
28-FEBRUARY-2008 YAZEED MUAWIYAH AL-HMOUD 37 YEARS
HUGE EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.
Anamnesis:
The patient came to the
clinic 18-February-2008 complaining of LBP with
right sciatica for 6 days. He had similar attack
1 year ago, but with lesser degree and extended
for 5 days.
The patient was limping with
scoliotic stance and had weak dorsiflexion right foot.
SLRS was 50 degrees in the right and 80 degrees
in the left.
The patient was sent for MRI of the
lumbar spine, which was performed
20-February-2008 confirming the presence of huge
disc L5-S1 with right downward migration.
Right L5-S1 hemiflavotomy was
performed and foraminotomy of right S1 root was
achieved. The extruded disc under the root was
identified and removed in piece-meal fashion,
after what the root became lax. The disc
material was old and sequestrated. After
cleaning of the extrusion, the root regained
normal position, but it was swollen.
Right sided cleaning of the
disc space of L5-S1 was performed. The disc space
was not shallow.
Routine closure of the wound
and smooth postoperative recovery.
Comments
The patient had considerable disc
space height, which make the estimated recurrence
around the average - 7%.
The extruded disc was
compressing the root, for what an agonizing pain
was the prominent feature in his clinical
picture.
