www.neurosurgery.tv 
   

neurophysiology.ws
neurosurgery.tv
e-neuroradiology.com
onconeurosurgery.com
craniopharyngiomas.com
pituitaryadenoma.net
meningiomas.org
neuro.science

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

Functional Neurosurgery
functionalneuro.surgery
Functionalneurosurgery.net

IOM Sites
iomonitoring.org
operativemonitoring.com

Neurosurgical Sites
e-neurosurgery.com
neurosurgery.me
neurosurgery.mx
skullbase.surgery

Neurosurgical Encyclopedia
neurosurgicalencyclopedia.org

Neurooncological Sites
acousticschwannoma.com
craniopharyngiomas.com
ependymomas.com
gliomas.info
meningiomas.org
neurooncology.me
onconeurosurgery.com
pinealomas.com
pituitaryadenomas.com 

Neuroanatomical Sites
humanneuroanatomy.com 
microneuroanatomy.com

Neuroanesthesia Sites
neuroanesthesia.info

Neuroendocrinologiacl Site
humanneuroendocrinology.com

Neurobiological Sites
humanneurobiology.com

Neurohistopathological
neurorhistopathology.com

Neuro ICU Site
neuroicu.info

Neuroophthalmological
neuroophthalmology.org

Neurophysiological Sites
humanneurophysiology.com

NeuroSience Sites
neuro.science

Neurovascular Sites
vascularneurosurgery.com

Personal Sites
cns.clinic

Spine Surgery Sites
spine.surgery
spondylolisthesis.info
paraplegia.today

Stem Cell Therapy Site
neurostemcell.com


Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

 

06-AUGUST-2008  ABDALLAH KAMAL AL-QAWASMEH  45 YEARS  HUGE CENTRAL DISC L4-5 WITH LEFT OLD AND FRESH RIGHT EXTRUSION.

Anamnesis:

bullet

The patient came to the clinic 29-July-2008 complaining of LBP and right sciatica for 20 days. The patient had left sciatica 5 years ago.

bullet

MRI done 13-July-2008 showed huge central extrusion of L4-5 with old left and fresh right sided extrusion with compression of both L5 roots.

bullet

On examination: the patient has exaggerated scoliotic stance, limping with SLRS 20 degrees with pain in the right. There is weak dorsiflexion right foot 4/5.

bullet

Bilateral L5 foraminotomy with bilateral flavotomy was performed. The soft right extrusion was attacked first lateral to the axilla and meticulous cleaning of the disc space of L4-5 was performed.

bullet

The bony hard extrusion was attacked lateral to the left L5 root and it was removed and meticulous cleaning was performed from the left.

bullet

Considering that bilateral cleaning was performed and the defect of the annulus fibrosis was considerably large, it was intentionally decided to widen the defect lateral to the right axilla in the annulus fibrosis, so as to minimize pain in case of future recurrence.

bullet

Routine closure of the wound and smooth postoperative recovery with normalization of the power of the right foot.

Comments

bullet

The estimated recurrence rate in this case is around the average, because the disc space height is still not shallow.

bullet

In case of bilateral cleaning, the defect in the annulus fibrosis is relatively wide. In such a case, it is preferable to extend the defect more far lateral, so as to ease the pain in case of future recurrence.

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


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 .

     

  

[2008] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved