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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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Multigen RF lesion generator .

03-JANUARY-2012  UMAR AHMAD HDEYB  42 YEARS  EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.

Anamnesis

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The patient came to the clinic 29-December-2011 complaining of LBP for 4 years with left sciatica. Exacerbation of left sciatica the last year. The patient has spring allergy for olive pollens.

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MRI lumbar spine done 08-October-2011 showing extruded disc L5-S1 with left foraminal occlusion.

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On examination, the patient is now not limping with exaggerated scoliotic stance. There is weak dorsi and planterflexion left foot 4/5 with numbness left S1 territory. SLRS was 90 degrees in the right without pain and 70 degrees in the left with pain. The AJ is absent in the left.

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The patient was sent for MRI of the lumbar spine, which were done 29-December-2011 confirming the persistence of the extrusion and foraminal occlusion.

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Foraminotomy of the left S1 root. The extruded disc was removed from under the axilla. After removing the extruded disc, the root was shifted medially and further cleaning of L5-S1 disc space was achieved and the root was inspected, so as not to miss a migrating fragment.

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Routine closure of the wounds. Smooth postoperative recovery with improvement of the power of the left 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 has still postoperative recurrence rate around 7%, because the disc space is still not shallow.

 

 

 


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Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

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