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
Neuro ICU Site
Spine Surgery Sites
Stem Cell Therapy Site
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
17-AUGUST-2011 FATIMA MUHAMED ABDEL-AZIZ 52 YEARS
EXTRUDED DISC L5-S1 WITH FOCAL COMPRESSION OF THE LEFT S1 ROOT.
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.
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
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
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.
closure of the wound. Smooth postoperative
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The postoperative recurrence rate in this case
is around 7% because the disc space is still not shallow.
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.
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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