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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

 

 

16-DECEMBER-2006  IMAD MAHMOUD AL-GHOOL  44 YEARS  RIGHT EXTRUDED DISC L5-S1

The patient came to the clinic 29-November-2006  complaining of LBP for 5 months. The last 2 months, he progressed severe right sciatica. MRI performed 27-September-2006 showed extruded disc L5-S1 with right downward migration.

On examination: the patient was limping with scoliotic stance with SLRS 45 degrees in the right, weak dorsiflexion all toes right foot with hypalgesia both L5 and S1 territories right foot.

Right L5-S1 hemiflavotomy with right S1 root foraminotomy were preformed and the extruded disc material was removed in several pieces lateral to the axilla. The defect in the annulus fibrosis was relatively small and the disc space was cleaned from the right until the sequestrated material was removed. Maximal cleaning was achieved.

Smooth postoperative recovery.

Comments:

1.  The disc space is relatively narrow and the defect in the annulus fibrosis was small. The expected recurrence is relatively lower than the usual.

2.  The root was adherent to the extruded disc with presence of soft disc material. This indicate, that his problem was acute upon chronic process.

 

 


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