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
The patient had long history of intermittent claudication for what she was operated elsewhere for LCS L4-5 one year ago. The patient did not notice improvement in her neurologic status and complains, for what repeat MRI showed the same stenosis persisting and the operated level was L3-4. On examination, she had weak dorsiflexion all toes both feet and she could not walk more than 20 meters. The patient was operated and the severely stenotic parts were drilled off. Bilateral foraminotomy of both L5 roots was achieved and it was noticed that the right root was more severely compressed. The patient regained full power immediately after surgery.