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Surgical group is like a football team.

 
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

 

 ABDEL-RAHMAN HAMEED SLEYH  54 YEARS  PLD L2-3 WITH LEFT UPWARD MIGRATION.

The patient came 30-August-2006 complaining of LBP for 5 years. The last 25 days, he got exacerbation of his LBP with left sciatica with numbness of the anterior thigh.  MRI lumbar spine performed 21-August-2006 showed extrusion of L2-3 disc with left upward migration.

On examination: there is weak dorsiflexion left foot with hypalgesia of the anterior aspect of the thigh. He had OA both knees.

Using imageintensifier the L2-3 level was identified and left hemilaminectomy was performed and the extruded disc was removed in several pieces. It was sequestrated and projecting lateraly to the foramen. Inspection of the disc L2-3 revealed no local problems mandating its removal. It was left intact.

Routine closure of the wound. Prompt postoperative recovery.

Comments:

1. It is mandatory to use imageintensifier, when working in high level of lumbar disc extrusions to be sure, not violating the wrong levels.


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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved