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The group in action.

 
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

 
12-JUNE-2006 ALI YOUSEF ALI AL-NSOOR 76 YEARS EXTRUDED DISC L4-5 LEFT SIDE WITH CONTRALATERAL DOWNWARD MIGRATION.
The patient retired minister came to the clinic 24-May-2006 complaining of LBP  for 6 years with bilateral sciatica more the left for 6 months. The condition deteriorating and he was limping. MRI performed 04-April-2006 showing huge extrusion of L4-5 with wide base more in the left in the disc level with contralateral downward migration.

On examination: SLRS was 30 degrees in both sides  with weak dorsiflexion both feet. He is a known hypertensive and cath done 8 and 6 years ago and in L-thyroxin 150 microgram daily after throidectomy for goiter  2 years ago. He was advised to undergo surgery and given pain-killers.

Bilateral L4-5 flavotomy with right L5 root foraminotomy was done and the extruded disc was removed in one piece from the left side lateral to the axilla. Bilateral cleaning of the disc space of L4-5 was performed and meticulous cleaning was done. The right L5 root was inspected for remnants of extrusion, which turned to be negative.

Routine closure of the wound. Smooth postoperative neurological recovery.


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