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Dr. Ali Al-Bayyati and Dr. Munir Elias

 
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

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Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .

03-JANUARY-2012  AFAF IBRAHEEM ABBAS  51 YEARS  EXTRUDED DISC L5-S1 WITH WIDE-BASED EXTENSION.

Anamnesis

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The patient came to the clinic 06-December-2011 complaining of LBP for 4 years with right sciatica for 2 months down to gastrocnemius.

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MRI of the lumbar spine performed 30-October-2011 showing bulge L4-5 and wide-based extrusion L5-S1 central more tot eh right and left downward migration.

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On examination, the patient has exaggerated scoliotic stance. There is weak dorsiflexion right foot 3/5 and planterflexion of the same foot 4/5. SLRS was 80 degrees in the right with tightness and 80 degrees in the left with pain. The right AJ is decreased.

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Bilateral L5-S1 flavotomy with foraminotomy of the right S1 root far down to regain good exposure of the downward migrating piece. The extruded disc was removed subaxillary from the right. Further cleaning of L5-S1 disc space was performed. Inspection of the left S1 root, ruled out the necessity to violate the disc space from the left.

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Routine closure of the wounds. Smooth postoperative recovery with improvement of the power of the right foot.


 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The patient still having recurrence rate below 7% because the disc space is slightly shallow.

 


Back Up!

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 .

 

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