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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

 

 

12-OCTOBER-2006  MUHAMED AHMAD ABU-ZER  63 YEARS  HUGE EXTRUDED DISC L4-5 WITH RIGHT DOWNWARD MIGRATION.

The patient came urgently to the operating room complaining of LBP for 8 years with right sciatica. Exacerbation the last month with positive cough sign. He was limping with scoliotic stance.

On examination: SLRS was 30 degrees in the right and 45 degrees in the left with weak dorsiflexion right foot and hypalgesia right L5 and S1 territories.

MRI lumbar spine performed 06-October-2006. It showed extruded disc L4-5 with right downward migration.

Right L4-5 hemiflavotomy  with foraminotomy of right L5 root was done. The extruded disc was removed and it was necessary to violate the annulus fibrosis to remove the extrusion with further cleaning of disc space from the right side.

Routine closure of the wound.

Comments:

1.  The patient came with agonizing pain. It was caused by the sequestrated disc material, which was compressing the root with mobility of the fragments. Mechanical irritation played an integral part in his pain generation.

 

 


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