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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

 
The patient came to the clinic 08-May-2006 complaining of LBP for 15 years with bilateral sciatica, more the right in the last 2 years with inability to walk more than 40 meters with intermittent claudication. The patient is a known diabetic  and hypertensive for 15 years. The patient underwent resection of the right kidney 50 years ago.

On examination: SLRS was 70 degrees in the left with scoliotic stance  and weak dorsiflexion both feet and planterflexion right foot. MRI requested and done 11-May-2006 which showed LCS at L3-4, L4-5 and L5-S1 more severe at L4-5.

Complete laminectomy of L4 and 5 was performed with partial lower half of L3. Foraminotomy of both L5 roots was performed. Inspection of the disci was negative for presence of extrusion.

Smooth postoperative recovery.

Comments:

1. Drilling help minimize surgical trauma to the already compressed neural elements. It has great advantage, that eliminating the bony elements before the ligamentous structures, make the later protrude and reduce pressure before reaching them. After regaining relaxation, using the Smith-Kerrison with small jaws drive the surgical trauma to zero level.

2. Foraminotomy is mandatory in all cases of LCS, because LCS and lateral recess syndrome come together all the time, and both problems must be resolved during surgery.


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