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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26-JANUARY-2008 AYMAN MUHAMED NADDAF 32 YEARS HUGE
RECURRENT PLD L4-5 LEFT SIDE.
Anamnesis:
The patient was operated by
me for PLD L4-5 left side
23-July-2007.
The patient came to the
clinic 07-August-2007 with still scoliotic
stance with normalization of the power ob both
feet. The patient over the time showed some
improvement, but then came 05-December-2007 with
the same sciatica and normal power of the feet.
The patient was sent for
check MRI, which was performed 19-January-2008,
showing huge recurrence of the disc at the same
site. The patient was advised to undergo surgery
for the recurrence.
Neurolysis of the left L5
root and exposure of the recurrence lateral to
the axilla. The extruded disc was removed in one
piece and further cleaning of the disc space of
L4-5 was performed from the left.
Routine closure of the wound
and smooth postoperative recovery.
Comments
As previously mentioned, the
expected recurrence in this case was medium.
The recurrence was mostly several days after the
surgery.
The neurological status of
the patient was normal. The presence of pain
must hold suspicion about the recurrence, since
the roots are not severely compressed after
foraminotomy. This is the usual finding of all
recurrences.
The disc space now is
shallow, which means that the expected
re-recurrence is below average.
