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Dr. Ali Al-Bayyati and Dr. Munir Elias

 
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

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17-AUGUST-2011  FATIMA MUHAMED ABDEL-AZIZ  52 YEARS  EXTRUDED DISC L5-S1 WITH FOCAL COMPRESSION OF THE LEFT S1 ROOT.

Anamnesis

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The patient came to the clinic 16-August-2011 complaining of LBP for 9 years with exacerbation of the LBP for 2 weeks and left sciatica.

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MRI lumbar spine done 14-August-2011 showing extruded disc L5-S1 with pin point compression of the left S1 root and small extrusion of L4-5 right side.

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On examination: the patient is limping and has exaggerated scoliotic stance. There is weak dorsiflexion left foot 3/5 and planterflexion same foot 3/5. There is hypalgesia left S1 territory.

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Left S1 foraminotomy with partial flavotomy L5-S1. The extruded disc was removed subaxially in one piece. Cleaning of L5-S1 disc space was performed from the left. The disc space was not shallow.

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Routine closure of the wound.  Smooth postoperative recovery .


 

 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The postoperative recurrence rate in this case is around 7% because the disc space is still not shallow.

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Despite the fact, that the disc extrusion was not big, but it was hard and compressing the S1 root as pin point, causing agonizing sciatica.

 


Back Up!

Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

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