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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

 

02-FEBRUARY-2005  SAMEER MUHAMED THAHER  46 YEARS  PLD L4-5 WITH LEFT DOWNWARD MIGRATION.

The patient came to the clinic 30-January-2006  complaining of left sciatica with LBP for 15 days with positive cough sign. MRI lumbar spine performed 04-December-2004 showed huge extruded disc L4-5 with left downward migration.

On examination: he had scoliotic stance with weak dorsiflexion left foot. Left L4-5 hemiflavotomy was done with foraminotomy of left L5 root was achieved and removal of the extrusion and cleaning of the disc space was performed and the epidural fate was transferred to cover the running exposed root.

Comments:

1. The nearest fat to the epidural fat, the best for transferring. Using the epidural fat shifted by compression is the best material material is used to cover the root at the axilla to minimize the scar formation.


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[2005] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved