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
30-APRIL-2009 MUAAD HANI DAHBOUR 27
YEARS HUGE EXTRUDED DISC L5-S1 LEFT SIDE.
Anamnesis:
The patient came to the
clinic 30-April-2009 with agonizing left
sciatica and LBP for 1 month with exacerbation
the last 3 days. All pain killers including
pethidine was ineffective.
He was unable to stand for
scoliotic stance estimation and SLRS was 10
degrees in the right and 5 degrees in the left
with shooting pain. The dorsiflexion left foot
was 1/5 and planterflexion same foot 3/5.
MRI lumbar spine performed
29-April-2009 showing huge extrusion L5-S1 with
posterior and downward migration.
The patient was urgently
taken to the operating room and left S1
foraminotomy was performed and the the extruded
disc was removed in several pieces from under
the axilla.
The disc space of L5-S1 was
cleaned from the left
Smooth postoperative recovery
with normalization of the power of the left
foot.
Comments
The patient was in agonizing
pain, that the strongest pain killer could not
afford to him relief of pain, for what he was
urgently taken to the operating room.
The estimated recurrence rate
in this case is around 7% because the disc space
height still not shallow..
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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 .
