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.tv

The patient  was operated 2 years ago for left sciatica and she became worse after surgery. She came with clinical picture of almost drop left foot with weak right and left sciatica. MRI requested and done, showing huge extrusion with downward migration of the L5-S1 disc  with prolapsed ganglions at right L4-5 facet with segmental stenosis at L4-5 and L5-S1 levels. The patient was operated and laminectomy of L4 and L5 was performed and the extrusion was removed with the ganglions and foraminotomy of right L5 and left S1 roots was performed.