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Dr. Ali Al-Bayyati and Dr. Munir Elias

 
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07-SEPTEMBER-2011 GHALEB AHMAD SHALASH  41 YEARS  EXTRUDED DISC L4-5 LEFT FAR-LATERAL.

Anamnesis

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The patient came to the clinic 04-September-2011 complaining of LBP since 20-July-2011 with left sciatica . MRI lumbar spine done 30-July showing disc L4-5 with left far-lateral extrusion.

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On examination: the patient is limping with exaggerated scoliotic stance. There is weak dorsi and planterflexion left foot -4/5. SLRS was 75 degrees in the left side with pain.

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MRI lumbar spine was repeated recently showing extruded disc L4-5 with left foraminal occlusion and far-lateral location, for what surgery was advised.

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Left L5 root foraminotomy done. Left hemiflavotomy L4-5 achieved. The left far-lateral extrusion was removed in several pieces. The upward migrating pieces were also removed. Left sided cleaning L4-5 disc space was performed. Inspection for remnants of the far-lateral  extrusion revealed no residual fragments.

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Routine closure of the wound.  Smooth postoperative recovery  with improvement of the power of 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 estimated recurrence in this case is 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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