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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 IMAD ALI MUHAMED NOFAL 34 YEARS EXTRUDED DISC L4-5 RIGHT SIDE WITH DOWNWARD MIGRATION.
The patient came to the clinic 03-June-2006 complaining of LBP  for 4 years with right sciatica for 3 months  with exacerbation last 8 days. MRI performed 27-May-2006 showing huge extrusion of L4-5 with right downward migration.

On examination: SLRS was 60 degrees in the right and 50 degrees in the left  with weak dorsiflexion both feet more the right  and hypalgesia right L5 and S1 roots territories. 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 under the axilla in one huge piece. Minimal cleaning of the disc space was applied lateral to the axilla. 

Routine closure of the wound. Smooth postoperative neurological recovery.


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