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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

 

 

17-DECEMBER-2006  ISHRAQ ISMAEEL ABU-RMEYLEH  30 YEARS  RIGHT EXTRUDED DISC L5-S1 WITH DOWNWARD MIGRATION

The patient came to the clinic 09-December-2006  complaining of LBP for with severe right sciatica for 3 months. MRI performed 28-October-2006 showed extruded disc L5-S1 with right downward migration.

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

Right L5-S1 hemiflavotomy with right S1 root foraminotomy were preformed and the extruded disc material was removed in one piece lateral to the axilla. The defect in the annulus fibrosis was small and the disc space was cleaned from the right until the sequestrated material was removed. Minimal 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 glistening with no adhesions to the extrusion, indicating, that the extrusion was of recent event.

 

 


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