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.fr
7-AUGUST-2009 HANEEN MAMDOUH AL-MASRY 52 YEARS
HUGE RECURRENT PLD L5-S1 RIGHT SIDE.
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Anamnesis:
The patient was operated by
for huge PLD L5-S1 with right downward
migration 31-May-2008.
She was doing well until 1 month ago got right
sciatica with exacerbation the last 10 days.
The patient came to the
clinic 15-August-2009 and in clinical
evaluation, she had no neurological deficit.
SLRS was 70 degrees in the right with pain.
The old wound was refreshed
and the right upper edge of the bony approach to
L5-S1 was also refreshed until the extruded
material was identified. It was removed in one
piece. The shallow collapsed disc space of
L5-S1 was cleaned from remnants of disc
material. Vo attempt was done to remove the scar
and only the root edge was seen.
Routine closure of the
wound and smooth
postoperative recovery.
Comments
Recurrence was expected in
the first operation to be higher than 7%,
because the disc space was not shallow at that
time. It was good idea to use the PEEK Satellite
sphere at that time to reduce the recurrence.
At this stage using the PEEK
Satellite is meaningless, since the disc space
became shallow and the expected recurrence rate
now is below 2%.
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 .
