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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08-JUNE-2008 MUSTAFA MUHAMED TALEB 30 YEARS
EXTRUDED DISC L4-5 WITH LEFT BACKWARD MIGRATION.
Anamnesis:
The patient came to the
clinic 03-June-2008 complaining of LBP after
falling down 1 month ago with numbness both
lower limbs the last 4 days.
MRI lumbar spine performed
29-May-2008 showing extruded disc L4-5 with left
backward migration.
On examination: the patient
has weak dorsiflexion both feet 4/5 right and
-4/5 left, with hypalgesia of the left lower
limb above the knee joint.
Left L4-5 hemiflavotomy with
foraminotomy of left L5 root was performed. The
extruded disc was removed lateral to the axilla.
All attempts were paid to preserve the epidural
fat.
Smooth postoperative recovery
and normalization of the power of both feet.
Comments
The recurrence rate in
this case is lower than the average, because the
disc space height is minimal.
Post-traumatic extruded disc
always have less degrees of recovery, because
the neural elements suffer not only from the
disc prolapse, but also from the direct injury
to the surrounding neural structures.
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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 .
