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
18-SEPTEMBER-2006 SARIYAH MUHAMED
RASHEED 46 YEARS RECURRENT PLD L4-5 RIGHT SIDE.
The patient was operated by me 04-August-2002 for PLD L4-5 right
side and he made good recovery, until 10 days ago got
agonizing right sciatica with inability to walk or set down. The
patient was advised to perform repeat MRI lumbar spine, which was
done 17-September-2006 and showed a huge recurrence at the same
level and side.
On examination, he had almost drop right foot and
severe right sciatica with hypalgesia right L5 root. The patient was
advised to undergo surgery. Through the same incision, right L5
foraminotomy was performed and the root was followed upward and the
extruded disc was stuck with the root. Lateral to the axilla the
sequestrated disc material was removed and further cleaning of the
disc space was performed from the right side.
Prompt postoperative recovery.
Comments:
1. Since the defect in the annulus fibrosis in the first
surgery was wide, the possibility for recurrence was relatively
higher than usual. There is a possibility that the intradiscal
material with time can give growth and each time when performing
meticulous cleaning, a large quantity of disc material come out,
holding the possibility of such speculation.
