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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17-OTOBER-2011 ZAKIYEH MUHAMED AL-HALAYQEH 40
YEARS RECURRENT EXTRUDED DISC L5-S1 WITH LEFT SEVERE ROOT COMPRESSION.
Anamnesis
The
patient came to the clinic 16-October-2011 complaining
of LBP with severe agonizing left sciatica for 2
months down to big toe left foot, making her
unable to sleep. The patient was operated in
Palestine 15-July-2007 for PLD L5-S1 for left
sciatica.
MRI
lumbar
spine performed 15-October-2011 showing
recurrent extruded disc L5-S1 with severe
compression of the left S1 root.
On
examination: the patient is limping with
exaggerated scoliotic stance with agonizing
sciatica, that it was necessary to give her
medication to evaluate her neurologic status.
SLRS was 40 degrees with pain in the left side.
There is almost drop left foot and weak
planterflexion left foot 4/5. There is
hypalgesia left S1 root.
The patient was operated at
Alhayat General Hospital. The left S1 root was
exposed after scarolysis. The extruded disc was
removed lateral to the axilla. Cleaning of L5-S1
was performed from the left side.
Routine
closure of the wound. Smooth postoperative
recovery with normalization of the power of left
foot.
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Comments
The recurrence rate after disc surgery is around
7-15%. Re-recurrence also having place around
7%.
In this case the estimated postoperative
re-recurrence is below 7%, because the disc
height is 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 .
